Moon, Jimmy Joe

Moon, Jimmy Joe is an sole proprietor health care provider with primary practice located at 2009 John St , Pasadena TX 77502-3375. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moon, Jimmy Joe can be contacted via phone (713) 473-6677.

Contact Information

Primary practice address
2009 John St Pasadena TX 77502-3375
Phone: (713) 473-6677
Fax: (713) 473-6778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13002 Texas

Profile Details

NPI number 1629077839
LBN Legal business name Moon, Jimmy Joe
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Jul 14th, 2009 - about 15 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.

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