Individual
DEREK THOMAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST, MSB 4.331, HOUSTON, TX 77030-1501
(713) 500-7216
Mailing address
1150 N 18TH ST, ABILENE, TX 79601-2948
(325) 670-4560
(833) 437-1256
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
T8606
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2013
Last updated
07/28/2022
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