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NPI Code Detail

MEDICARE: KEVIN M MORAN M. D.

MEDICARE:   KEVIN M MORAN  M. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianJ0854TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376535922
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN M MORAN M. D.
Provider Business Mailing Address
First Line : 35 JUNIPER GROVE PL
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77382-4403
Country : US
Telephone Number : 281-364-9509
Fax Number : 281-364-0984
Provider Business Practice Location Address
First Line : 9200 NEW TRAILS DR STE 100
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77381-5257
Country : US
Telephone Number : 281-264-9509
Fax Number : 281-364-0984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 06/01/2023

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