Provider Demographics
NPI:1649272170
Name:MOBLEY, DAVID F (MD)
Entity type:Individual
Prefix:PROF
First Name:DAVID
Middle Name:F
Last Name:MOBLEY
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 1:18300 KATY FWY
Mailing Address - Street 2:SUITE 325
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1385
Mailing Address - Country:US
Mailing Address - Phone:832-522-8300
Mailing Address - Fax:832-522-8301
Practice Address - Street 1:18300 KATY FWY
Practice Address - Street 2:SUITE 325
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1385
Practice Address - Country:US
Practice Address - Phone:832-522-8300
Practice Address - Fax:832-522-8301
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2016-03-26
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
TXD6666174400000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX034592802Medicaid
TX0345928-01Medicaid
TXP00858549OtherRAILROAD MEDICARE
TX034592803Medicaid
TX8DA930OtherBLUE CROSS BLUE SHIELD
TX8DA930OtherBLUE CROSS BLUE SHIELD
TX0345928-01Medicaid
TX034592802Medicaid
TXB24941Medicare UPIN