Moosa, Abdul R

Moosa, Abdul R is an sole proprietor health care provider with primary practice located at 401 West Fairmont Parkway Suite # D, La Porte TX 77571-6305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moosa, Abdul R can be contacted via phone (281) 470-4740.

Contact Information

Primary practice address
401 West Fairmont Parkway Suite # D La Porte TX 77571-6305
Fax: (281) 470-4733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J3015 Texas

Profile Details

NPI number 1871555052
LBN Legal business name Moosa, Abdul R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Jul 23rd, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871555052 NPPES
Texas MEDICAID 126988802

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