Jimmy Joe Moon in Pasadena - General Practice
Jimmy Joe Moon - NPI 1629077839
Jimmy Joe Moon is a General Practice in Pasadena, Texas. Jimmy Joe Moon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jimmy Joe Moon is 1629077839. The last update date is 2009-07-14.
Jimmy Joe Moon's current location address is 2009 John St, Pasadena, Texas. You can contact this provider via phone number 7134736677 and fax number 7134736778. The mailing address for Jimmy Joe Moon is 2009 John St, Pasadena, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy Joe Moon |
|---|---|
| Address | 2009 John St, Pasadena, Texas |
| Phone Number | 7134736677 |
| Fax Number | 7134736778 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629077839 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2009-07-14 |
Provider Mailing Address Detail
| Address | 2009 John St |
|---|---|
| City | Pasadena |
| State | Texas (TX) |
| Post Code | 775023375 |
| Phone Number | 7134736677 |
| Fax Number | 7134736778 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13002 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code issued to Jimmy Joe Moon by the Centers for Medicare & Medicaid Services?
The Jimmy Joe Moon has been assigned the NPI (National Provider Identifier) 1629077839 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jimmy Joe Moon?
The Jimmy Joe Moon is physically situated at 2009 John St, in the city of Pasadena, state of TX, with the postal code 775023375.
What is Jimmy Joe Moon's area of expertise and its corresponding taxonomy classification?
The Jimmy Joe Moon's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When did the Jimmy Joe Moon receive its 1629077839?
The Jimmy Joe Moon was issued its 1629077839 on 2005-07-19, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jimmy Joe Moon most recently updated or revised?
The details related to Jimmy Joe Moon, including its address, specialty, and other relevant information, were last updated or revised on 2009-07-14.