Individual
DR. KENDALL IVAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7616 BRANFORD PL STE 220, SUGAR LAND, TX 77479-3794
(346) 493-9329
Mailing address
1104 THOMPSON ST, HOUSTON, TX 77007-5634
(708) 768-6263
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01082466A
IN
207P00000X
Emergency Medicine Physician
036150489
IL
207P00000X
Emergency Medicine Physician
2019024451
MO
207P00000X
Emergency Medicine Physician
Primary
S8341
TX
207Q00000X
Family Medicine Physician
S8341
TX
Other
Enumeration date
04/23/2015
Last updated
04/22/2026
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