Organization
ABDUL R MOOSA MD PA
Active
Other names
La Porte Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL R MOOSA M.D. (OWNER/PHYSICIAN)
(281) 470-4740
Entity
Organization
Contact information
Practice address
401 W FAIRMONT PKWY, SUITE # D, LA PORTE, TX 77571-6307
(281) 470-4740
(281) 470-4733
Mailing address
401 W FAIRMONT PKWY, SUITE # D, LA PORTE, TX 77571-6307
(281) 470-4740
(281) 470-4733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3015
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126988802
—
TX
Enumeration date
10/01/2007
Last updated
07/24/2008
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