DR. MARILYN O MORA (NPI# 1669539870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669539870 |
| Entity Type | Individual |
| Full Name | DR. MARILYN O MORA |
| Credential | M.D. |
| Practice Address |
17614 Fossil Ridge Ln Humble TX 77346-1582 |
| Practice Telephone | 2288066773 |
| Mailing Telephone | 2288066773 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 16183 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07504850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821544032 | Marilyn Mora | Nurse Practitioner | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2016-08-28 |
| Street Address |
17614 FOSSIL RIDGE LN |
| City | HUMBLE |
| State | TX |
| Zip Code | 77346-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336024 | Chandler Dejean | Dentist | 7315 Farm To Market 1960 Rd E, Humble, TX 77346 | 2020-08-13 |
| 1184275281 | Lakeshia Williams | Technician | 7419 Auburn Oak Trail, Humble, TX 77346 | 2019-09-20 |
| 1720557275 | Soh of Texas Samson Liu Pllc | Dentist | Fm 1960 #204, Humble, TX 77346 | 2018-11-14 |
| 1548774979 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 17900 West Lake Houston Highway, Houston, TX 77346 | 2017-11-21 |
| 1194267187 | Family Ties Living Center | Clinic/Center | 18707 Timbers Trace Drive, Humble, TX 77346 | 2016-11-08 |
| 1992254809 | Adam Thomas Huval | Registered Nurse | 20440 Us-59 #500, Humble, TX 77346 | 2016-10-03 |
| 1770953408 | Alliance Mri Lake Houston, LLC | Clinic/Center | 5514 Atascocita Road, Suite 180, Humble, TX 77346 | 2015-10-07 |
| 1740670975 | Ayesha Mohiuddin | Pediatrics | 17903 W Lake Houston Pkwy Ste 202, Atascocita, TX 77346 | 2015-01-26 |
| 1124422415 | Christopher Roath | Behavioral Analyst | 5364 Farm To Market 1960 Rd E, Humble, TX 77346 | 2014-10-15 |
| 1982004099 | Kimberly Fulghum | Registered Nurse | 19406 Texas Laurel Trl, Humble, TX 77346 | 2014-08-26 |
| Find all providers in zip 77346 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073991055 | Tony Nguyen | Internal Medicine | 18839 Mckay Dr, Humble, TX 77338-5721 | 2015-05-11 |
| 1326487638 | Sarah Naeem | Internal Medicine | 218951 N Memorial Dr Ste 103w, Humble, TX 77338-4217 | 2013-06-19 |
| 1821347279 | Olubunmi Ogundadegbe | Internal Medicine | 18980 N Memorial Dr, Ste 240, Humble, TX 77338-4216 | 2012-08-30 |
| 1316188519 | Sowmya Puthalapattu | Internal Medicine | 19502 Mckay Blvd, Suite- 200, Humble, TX 77338-5707 | 2009-03-18 |
| 1184814493 | Fabiana Ziegler Farinetti | Internal Medicine | 17903 W Lake Houston Pkwy Ste 201, Humble, TX 77346-3954 | 2007-08-01 |
| 1780757229 | Tamika Denson-willis | Internal Medicine | 18955 Memorial North Dr., #200, Humble, TX 77338 | 2006-11-15 |
| 1073544813 | Anil A. Dara M.d. P.a. | Internal Medicine | 18955 Memorial North Ste 200, Humble, TX 77338 | 2006-07-06 |
| 1346276987 | Juan Carlos Zubieta | Internal Medicine | 1485 Fm 1960 Bypass Rd E Ste 320, Humble, TX 77338-3965 | 2006-06-24 |
| 1659357374 | Rosemary Schempp | Internal Medicine | 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 | 2005-12-15 |
| 1558357988 | Jeff C Wang | Internal Medicine | 1702 Fm 1960 Bypass Rd E, Humble, TX 77338-3916 | 2005-09-21 |
| Find all providers in HUMBLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.