Moody, Shade' Bethena

Moody, Shade' Bethena is an sole proprietor health care provider with primary practice located at 6410 Fannin St Ste 500 , Houston TX 77030-3005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Moody, Shade' Bethena can be contacted via phone (832) 325-7151.

Contact Information

Primary practice address
6410 Fannin St Ste 500 Houston TX 77030-3005
Phone: (832) 325-7151
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X P0255 Texas

Profile Details

NPI number 1285844514
LBN Legal business name Moody, Shade' Bethena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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