Provider Demographics
NPI:1154610657
Name:MUSHIN, OREN PAUL (MD)
Entity type:Individual
Prefix:
First Name:OREN
Middle Name:PAUL
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 1:10504 KATY FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-5107
Mailing Address - Country:US
Mailing Address - Phone:713-722-7400
Mailing Address - Fax:713-722-9156
Practice Address - Street 1:10504 KATY FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-5107
Practice Address - Country:US
Practice Address - Phone:713-722-7400
Practice Address - Fax:713-722-9156
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXR0625208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program