Organization
CELESTIAL SPECIALTY CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALAN MOORE M.D. (OWNER)
(713) 664-2662
Entity
Organization
Contact information
Practice address
5420 WEST LOOP S STE 3500, BELLAIRE, TX 77401-2121
(713) 664-2662
(713) 987-7691
Mailing address
PO BOX 741126, HOUSTON, TX 77274-1126
(713) 532-7311
(731) 532-7399
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
E6533
TX
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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