Mouton, David Eugene

Mouton, David Eugene is an individual health care provider with primary practice located at 1111 Augusta Dr , Houston TX 77057-2209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Mouton, David Eugene can be contacted via phone (713) 442-2400.

Contact Information

Primary practice address
1111 Augusta Dr Houston TX 77057-2209
Phone: (713) 442-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D6830 Texas
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X D6830 Texas

Profile Details

NPI number 1104912385
LBN Legal business name Mouton, David Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jun 14th, 2021 - about 4 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 1104912385 NPPES
Texas MEDICAID 124291910
Texas MEDICAID 124291905
Texas MEDICAID 124291907

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