Moss, Mark H

Moss, Mark H is an individual health care provider with primary practice located at 8633 Broadway St Suite 117, Pearland TX 77584-8497. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Moss, Mark H can be contacted via phone (281) 485-2988.

Contact Information

Primary practice address
8633 Broadway St Suite 117 Pearland TX 77584-8497
Fax: (281) 485-2337
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1645 Texas

Profile Details

NPI number 1639128317
LBN Legal business name Moss, Mark H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Oct 10th, 2013 - about 12 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 1639128317 NPPES
Texas MEDICAID 177268301

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