Moosa MHT LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J3015 Issued in TX

Legal business name

MOOSA MHT LLC

Practice address

1612 Stoney Lake Dr
Friendswood, TX 77546-6126

Phone

(855) 860-2109

Fax

(855) 814-8428

NPI assigned

Apr 17, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abdul R Moosa, MD

Title

Owner

Phone

(281) 470-4740

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1164842100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DRIVE",
            "address_2": "SUITE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "855-860-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 STONEY LAKE DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775466126",
            "telephone_number": "855-860-2109",
            "fax_number": "855-814-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOSA MHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "MOOSA",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-470-4740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Joseph Molloy, DDS
• Seena Monjazeb, M.D.
• Valeria Montemayor
• Jessica Moore, M.D.
• Lyndsy Suzette Moorhouse, LMT
• Sohil Moradi
• Ana Morales-Amaya, M.D.
• Lisset Morales
• Magdalena Nieto Morales
• Mitzi Adamaris Morales

• Family Medicine Physician in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.