Mora, Marilyn O
Mora, Marilyn O is an sole proprietor health care provider with primary practice located at 17614 Fossil Ridge Ln , Humble TX 77346-1582. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mora, Marilyn O can be contacted via phone (228) 806-6773.Contact Information
Primary practice address
17614 Fossil Ridge Ln
Humble TX 77346-1582
Phone: (228) 806-6773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16183 | Mississippi |
Profile Details
| NPI number | 1669539870 |
|---|---|
| LBN Legal business name | Mora, Marilyn O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Apr 7th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669539870 | NPPES |
| Mississippi | MEDICAID | 07504850 |
Popular Providers
-
Rumalla, Srinivas Kumar
18648 Mckay Dr 220, Humble TX 77338-5716 -
Mitchell, Adam Michael
8233 N Sam Houston Pkwy E , Humble TX 77396-2922 -
Do, Thong Manh
18455 W Lake Houston Pkwy Suite 190, Humble TX 77346-3457 -
Rumalla, Sunita
18648 Mckay Dr 220, Humble TX 77338-5716 -
Blizzard, Cynthia A
107 Granberry St , Humble TX 77338-4547 -
Ahmed, Mushtaque
18652 Mckay Dr Ste 100 , Humble TX 77338-5727 -
Karam, Claudia
19002 Mckay Dr , Humble TX 77338-5701 -
Farinetti, Fabiana Ziegler
17903 W Lake Houston Pkwy Ste 201 , Humble TX 77346-3954