MEDICARE: DR. CARTER J MOORE 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
1	207VG0400X	Gynecology Physician	H6448	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1588627921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARTER J MOORE M.D.

Provider Business Mailing Address
First Line	:	304 W 20TH ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	TX
Zip	:	75455-2328
Country	:	US
Telephone Number	:	903-572-5882
Fax Number	:	903-572-7330

Provider Business Practice Location Address
First Line	:	304 W 20TH ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	TX
Zip	:	75455-2328
Country	:	US
Telephone Number	:	903-572-5882
Fax Number	:	903-572-7330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	05/21/2026

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Directions to “ DR. CARTER J MOORE M.D.” Practice Location

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