Moron, Fanny E

Moron, Fanny E is an individual health care provider with primary practice located at 4600 E Sam Houston Pkwy S , Pasadena TX 77505-3948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Moron, Fanny E can be contacted via phone (713) 481-3533.

Contact Information

Primary practice address
4600 E Sam Houston Pkwy S Pasadena TX 77505-3948
Phone: (713) 481-3533
Fax: (713) 432-0221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 40568 Texas

Profile Details

NPI number 1093759193
LBN Legal business name Moron, Fanny E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Dec 2nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093759193 NPPES
Texas Other 8AM788 BCBS
Texas MEDICAID 172439505 BCBS
Texas MEDICAID 172439504 BCBS
Texas MEDICAID 172439501 BCBS
Texas MEDICAID 172439503 BCBS

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