Individual
DR. ANTHONY JOSEPH MUFFOLETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1110 NASA PKWY STE 307, HOUSTON, TX 77058-3345
(832) 864-3047
Mailing address
PO BOX 590647, HOUSTON, TX 77259-0647
(832) 864-3407
(281) 335-5520
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
K9854
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
K9854
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040029303
—
TX
05
—
040029304
—
TX
05
—
040029305
—
TX
05
—
040029306
—
TX
05
—
040029307
—
TX
01
—
5521704
AETNA
TX
01
—
610119705
US DEPT OF LABOR
TX
01
—
8BP175
BLUE CROSS BLUE SHIELD
TX
01
—
P00732782
RAILROAD MEDICARE
TX
01
—
P01070710
RR MEDICARE
TX
Enumeration date
08/31/2006
Last updated
11/16/2023
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