Thomas Wylie Moore is a Surgery in Stafford, Texas. Thomas Wylie Moore practices all healthcare services and medical treatments related to Surgery. The NPI Number for Thomas Wylie Moore is 1568557577. The last update date is 2019-06-03.
Thomas Wylie Moore's current location address is 13811 Murphy Rd, Stafford, Texas. You can contact this provider via phone number 7137721200 and fax number 2814910426. The mailing address for Thomas Wylie Moore is 13811 Murphy Rd, Stafford, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Wylie Moore |
|---|---|
| Address | 13811 Murphy Rd, Stafford, Texas |
| Phone Number | 7137721200 |
| Fax Number | 2814910426 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1568557577 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2019-06-03 |
Provider Mailing Address Detail
| Address | 13811 Murphy Rd |
|---|---|
| City | Stafford |
| State | Texas (TX) |
| Post Code | 774774903 |
| Phone Number | 7137721200 |
| Fax Number | 2814910426 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | J4371 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20033056 | TX | MEDICARE RR | |
| 5834481 | TX | AETNA | |
| 10018768 | TX | AMERIGROUP | |
| 3974024 | TX | CIGNA | |
| 0479214-01 | TX | -- |
Post Comment/ Review Below
What is the Thomas Wylie Moore's 1568557577?
The Thomas Wylie Moore's NPI (National Provider Identifier) Number is 1568557577. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Thomas Wylie Moore is geographically located?
The Thomas Wylie Moore is physically situated at the following location: 13811 Murphy Rd, Stafford, TX, 774774903.
What is Thomas Wylie Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas Wylie Moore's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the Thomas Wylie Moore receive the assignment of its 1568557577 from the Centers for Medicare & Medicaid Services?
The Thomas Wylie Moore was issued its 1568557577 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the details related to Thomas Wylie Moore most recently updated or revised?
The information pertaining to Thomas Wylie Moore, including its address, specialty, and other relevant details, was last updated or revised on 2019-06-03.
NPI Number: 1912900614
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