Mosissa Ayana
Individual provider Active NPI Orthotist · Bellaire, TX
NPI 1962876987 · NPPES record last updated Nov 16, 2015
Key facts
- NPI
- 1962876987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthotist 222Z00000X
- License
- 1745 (TX)
- Practice address
- 5420 West Loop S
Bellaire, TX 77401-2107 - Phone
- (713) 660-8801
- Fax
- (713) 660-8809
- NPI assigned
- Nov 16, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1745 | TX | MD | Foot & Ankle Surgery Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 1745 | TX | Yes |
Addresses
Primary practice location
5420 West Loop S
Bellaire, TX 77401-2107
Mailing address
5420 West Loop S
Bellaire, TX 77401-2107
Phone (713) 660-8801
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.