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Provider Information for 1568656197



DR. ALBERT MORAVEJ DDS

Gender: MALE

Individual NPI: 1568656197

Calendar Last Updated: 2016-09-06

Details

Name Value
NPI 1568656197
Enumeration Date 2007-08-27
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2362 BINLEY DR
HOUSTON, TX 77077-5511
United States

Phone: 713-461-6161 | Fax: 713-461-4282
View Map External Link
Primary Practice Address 902 FROSTWOOD DR SUITE 166
HOUSTON, TX 77024-2420
United States

Phone: 713-461-6161 | Fax: 713-461-4282
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice TX 24364
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location