Provider Demographics
NPI:1679019657
Name:KAPEND, MOZART
Entity Type:Individual
Prefix:
First Name:MOZART
Middle Name:
Last Name:KAPEND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8910 GRAPE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7318
Mailing Address - Country:US
Mailing Address - Phone:502-403-4583
Mailing Address - Fax:
Practice Address - Street 1:9777 W GULF BANK RD
Practice Address - Street 2:SUITE #5
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-3132
Practice Address - Country:US
Practice Address - Phone:281-970-5900
Practice Address - Fax:281-970-5913
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic