Provider Demographics
NPI:1194219295
Name:AMIT B MORI, PLLC
Entity Type:Organization
Organization Name:AMIT B MORI, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NAYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-698-7070
Mailing Address - Street 1:PO BOX 131661
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77393-1661
Mailing Address - Country:US
Mailing Address - Phone:281-698-7070
Mailing Address - Fax:
Practice Address - Street 1:500 MEDICAL CENTER BLVD STE 235
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2800
Practice Address - Country:US
Practice Address - Phone:281-698-7070
Practice Address - Fax:480-685-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty