Individual
JEFFREY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18300 SAINT JOHN DR, NASSAU BAY, TX 77058-6302
(713) 481-3535
(713) 432-0221
Mailing address
PO BOX 421008, HOUSTON, TX 77242-1008
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
K8355
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
K8355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AE950
BCBS
TX
Enumeration date
06/27/2005
Last updated
02/11/2022
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