Provider Demographics
NPI:1467873224
Name:MOYA, DANIEL M (R NCS T)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:M
Last Name:MOYA
Suffix:
Gender:M
Credentials:R NCS T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 W PARKER RD
Mailing Address - Street 2:STE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-3202
Mailing Address - Country:US
Mailing Address - Phone:281-667-6568
Mailing Address - Fax:
Practice Address - Street 1:411 W PARKER RD
Practice Address - Street 2:STE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-3202
Practice Address - Country:US
Practice Address - Phone:281-667-6568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-21
Last Update Date:2013-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX829174400000X, 246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No174400000XOther Service ProvidersSpecialist