Provider Demographics
NPI:1255330106
Name:ZAW, MOE OO (MD)
Entity type:Individual
Prefix:DR
First Name:MOE
Middle Name:OO
Last Name:ZAW
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:PO BOX 741184
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-1184
Mailing Address - Country:US
Mailing Address - Phone:713-773-1132
Mailing Address - Fax:713-773-3866
Practice Address - Street 1:6065 HILLCROFT ST STE 208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1005
Practice Address - Country:US
Practice Address - Phone:713-773-1132
Practice Address - Fax:713-773-3866
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2021-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6431207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX118418604Medicaid
TX143485402Medicaid