Moody, Everett Albert
Moody, Everett Albert is an individual health care provider with primary practice located at 3200 N Macarthur Blvd Ste 200, Irving TX 75062-4404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Moody, Everett Albert can be contacted via phone (972) 258-7979.Contact Information
Primary practice address
3200 N Macarthur Blvd Ste 200
Irving TX 75062-4404
Phone: (972) 258-7979
Fax: (972) 570-5502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D0977 | Texas |
Profile Details
| NPI number | 1154326726 |
|---|---|
| LBN Legal business name | Moody, Everett Albert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jun 1st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154326726 | NPPES |
| Texas | Other | 74309 | AMERIGROUP ID |
| Texas | Other | 8091K0 | AMERIGROUP ID |
| Texas | Other | 9001 | AMERIGROUP ID |
| Texas | Other | 4821 | AMERIGROUP ID |
| Texas | Other | 11369 | AMERIGROUP ID |
| Texas | Other | 2224973 | AMERIGROUP ID |
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