Individual
STACEY DENISE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5373 W ALABAMA ST STE 204, HOUSTON, TX 77056-5923
(832) 299-5229
Mailing address
20211 CYPRESSWOOD ESTATES RUN, SPRING, TX 77373-3295
(832) 496-4855
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
0101289204
VA
202D00000X
Integrative Medicine Physician
112023
GA
202D00000X
Integrative Medicine Physician
206758
CA
202D00000X
Integrative Medicine Physician
35.154137
OH
202D00000X
Integrative Medicine Physician
61731
KY
202D00000X
Integrative Medicine Physician
D0105958
MD
202D00000X
Integrative Medicine Physician
Primary
M8193
TX
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
M8193
TX
208600000X
Surgery Physician
Primary
M8193
TX
2086P0122X
Physician Nutrition Specialist (Surgery)
0101289204
VA
2086P0122X
Physician Nutrition Specialist (Surgery)
112023
GA
2086P0122X
Physician Nutrition Specialist (Surgery)
206758
CA
2086P0122X
Physician Nutrition Specialist (Surgery)
35.154137
OH
2086P0122X
Physician Nutrition Specialist (Surgery)
61731
KY
2086P0122X
Physician Nutrition Specialist (Surgery)
D0105958
MD
2086P0122X
Physician Nutrition Specialist (Surgery)
M8193
TX
2086P0122X
Physician Nutrition Specialist (Surgery)
MD600005992
DC
2086S0120X
Pediatric Surgery Physician
036139932
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196912302
—
TX
01
—
8CA598
BCBS
TX
Enumeration date
12/07/2007
Last updated
05/29/2026
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