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Individual

CONSTANCE MARIE MOBLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., PHD

Contact information

Practice address
6445 MAIN STREET, OPC 22, HOUSTON, TX 77030
(713) 441-5451
(713) 791-5277
Mailing address
6445 MAIN STREET, OUTPATIENT CENTER, FLOOR 22, HOUSTON, TX 77030
(713) 441-5451
(713) 791-5277

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
A115469
CA
204F00000X
Transplant Surgery Physician
Primary
P9403
TX
208600000X
Surgery Physician
A115469
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0A1154690
CA
05
340202601
TX
05
340202602
TX
01
8EJ545
BCBS
TX
01
P01507451
RR MEDICARE
TX
Enumeration date
03/29/2007
Last updated
01/16/2024
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