Individual
DR. JEFFREY MOORE
Active
Individual
DR. JEFFREY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E04475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101877201
—
TX
01
—
119780100
FIRST CARE PROVIDER NUMBE
TX
01
—
160023077
RAILROAD MEDICARE
TN
01
—
2462125003
CIGNA PROVIDER NUMBER
TX
01
—
4458949
AETNA PROVIDER NUMBER
TX
01
—
70490001
UNITED HEALTHCARE PROV NO
TX
01
—
814762
BCBS PROVIDER NUMBER
TX
Enumeration date
06/23/2005
Last updated
09/27/2012
Update your record
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