Moore, Stacey Denise

Moore, Stacey Denise is an sole proprietor health care provider with primary practice located at 1550 First Colony Blvd , Sugar Land TX 77479-4000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Moore, Stacey Denise can be contacted via phone (281) 275-6065.

Contact Information

Primary practice address
1550 First Colony Blvd Sugar Land TX 77479-4000
Phone: (281) 275-6065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M8193 Texas
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 036139932 Illinois

Profile Details

NPI number 1982887493
LBN Legal business name Moore, Stacey Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2007
Last updated Oct 14th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982887493 NPPES
Texas MEDICAID 196912302
Texas Other 8CA598

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