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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
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice TX 24364