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 11 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 |
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