Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | BP10025572 | TX |
N | 208600000X | Surgeon | BP10025572 | TX |
Y | 2086S0129X | Vascular Surgeon | N4576 | TX |
NPI | 1013157122 |
---|---|
Provider Name | Dr. Christy Leigh Moeller |
First Address | Houston, TX 77006-2106 |
Second Address | Houston, TX 77054-1971 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2009 |
Last Update Date | 27/01/2022 |