Shade' Bethena Moody in Houston - Neurology With Special Qualifications In Child Neurology

Shade' Bethena Moody - NPI 1285844514

Shade' Bethena Moody is a Neurology With Special Qualifications In Child Neurology in Houston, Texas. Shade' Bethena Moody practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Shade' Bethena Moody is 1285844514. The last update date is 2022-07-20.

Shade' Bethena Moody's current location address is 6410 Fannin St Ste 500, Houston, Texas. You can contact this provider via phone number 8323257151. The mailing address for Shade' Bethena Moody is 6410 Fannin St Ste 500, Houston, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Shade' Bethena Moody
Address 6410 Fannin St Ste 500, Houston, Texas
Phone Number 8323257151
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1285844514
Provider Enumeration Date 2007-05-23
Last Updated Date 2022-07-20

Provider Mailing Address Detail

Address 6410 Fannin St Ste 500
City Houston
State Texas (TX)
Post Code 770303005
Phone Number 8323257151
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurology With Special Qualifications In Child Neurology
Taxonomy 2084N0402X
Licence No P0255
Definition:
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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FAQs about Shade' Bethena Moody

What is the unique 10-digit identification code assigned to Shade' Bethena Moody by the Centers for Medicare & Medicaid Services?

The Shade' Bethena Moody has been issued the NPI (National Provider Identifier) 1285844514, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Shade' Bethena Moody is physically located?

The Shade' Bethena Moody is physically situated at the following address: 6410 Fannin St Ste 500, Houston, TX, 770303005.

What is Shade' Bethena Moody's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Shade' Bethena Moody is Neurology With Special Qualifications In Child Neurology, and the taxonomy code that classifies this field of practice is 2084N0402X.

When was the Shade' Bethena Moody's 1285844514 issued?

The Shade' Bethena Moody's 1285844514 was issued on 2007-05-23.

As of what date were the Shade' Bethena Moody's details last updated?

The information pertaining to the Shade' Bethena Moody, including its address, specialty, and other details, was most recently updated on 2022-07-20.

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