WAYNE MOLDOVAN MD PROFESSIONAL ASSOCIATION
Neurology at Fannin St, Houston, TX

License number
Texas P8163
Category
Neurology
Type
Neurology
Owner
Name: WAYNE SCOTT MOLDOVAN MD
Title: CEO
Phone: (713) 790-0911
Address
Address
6550 Fannin St SUITE 2415, Houston, TX 77030
National Provider ID: 1093131542
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WAYNE MOLDOVAN M.D. PROFESSIONAL ASSOCIATION

6550 Fannin St STE 2415, Houston, TX 77030

Doing business as:
Wayne Moldovan M.D. Professional Association
Registration:
Feb 11, 2014
State ID:
0801934665
Business type:
Professional Association
Executive Committee, Member, President, Secretary, Treasurer, Vice-President:
Wayne S. Moldovan (Executive Committee, Member, President, Secretary, Treasurer, Vice-President)
Agent:
Wayne S Moldovan,6550 Fannin St SUITE 2415, Houston, TX 77030 (Physical)
TIN:
32053201847

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