Provider Demographics
NPI:1437182193
Name:MUSHIN, URIEL (MD)
Entity Type:Individual
Prefix:
First Name:URIEL
Middle Name:
Last Name:MUSHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 FROSTWOOD DR STE 163
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2449
Mailing Address - Country:US
Mailing Address - Phone:713-722-7400
Mailing Address - Fax:713-722-9156
Practice Address - Street 1:902 FROSTWOOD DR STE 163
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2449
Practice Address - Country:US
Practice Address - Phone:713-722-7400
Practice Address - Fax:713-722-9156
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9775208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD529Medicare ID - Type Unspecified
TXB25044Medicare UPIN