Provider Demographics
NPI:1902075070
Name:MOONAT MEDICAL ASSOC INC
Entity Type:Organization
Organization Name:MOONAT MEDICAL ASSOC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GYNOCOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:SUNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOONAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-440-5925
Mailing Address - Street 1:17030 NANES DR
Mailing Address - Street 2:SUITE 211
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2503
Mailing Address - Country:US
Mailing Address - Phone:281-440-5925
Mailing Address - Fax:281-440-3324
Practice Address - Street 1:17030 NANES DR
Practice Address - Street 2:SUITE 211
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2503
Practice Address - Country:US
Practice Address - Phone:281-440-5925
Practice Address - Fax:281-440-3324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty