Moc Webster LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOC WEBSTER LLC

Doing business as

Bridgemoor of Webster

Practice address

16130 Galveston Road
Webster, TX 77598

Phone

(512) 524-7321

NPI assigned

Mar 20, 2018

Organization subpart

No

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

Authorized official

Name

Mark Fritz

Title

President

Phone

(512) 524-7321

Specialties & licenses 1

Addresses

Other names 1

• Bridgemoor of Webster Doing business as

Locations

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1689178139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ARROW POINT DR STE 506",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132189",
            "telephone_number": "512-524-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16130 GALVESTON ROAD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "512-524-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOC WEBSTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-524-7321"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgemoor of Webster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deepti Mishra, M.D.
• Sonal Misra
• Bethany Jo Mitchell
• Jasmine Mitchell, MD
• Keyan Mobli, M.D.
• Morgan Taylor Moghadam, OTR
• Mohamed El Beheary, MD, PA
• Mohamed L Shalaby M.D.P.a
• Mohamed Shalaby, MD, PA
• Jamal Mohammed Mohammed, MD

• Skilled Nursing Facility in Webster, TX
• Providers in Webster, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.