1871633966 NPI number — MOES R. NASSER, OD

Table of content: (NPI 1871633966)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871633966 NPI number — MOES R. NASSER, OD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOES R. NASSER, OD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
VISION SOURCE GREENWAY-GALLERIA, PA
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871633966
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3800 SOUTHWEST FREEWAY
Provider Second Line Business Mailing Address:
SUITE 112
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77027
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-955-9999
Provider Business Mailing Address Fax Number:
281-955-9931

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3800 SOUTHWEST FREEWAY
Provider Second Line Business Practice Location Address:
SUITE 112
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-955-9999
Provider Business Practice Location Address Fax Number:
281-955-9931
Provider Enumeration Date:
02/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
NASSER
Authorized Official First Name:
MOES
Authorized Official Middle Name:
R.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
713-995-0042

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  3077TG , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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