MEDICARE: JOHN CARY MOORHEAD MD

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	207YS0012X	Sleep Medicine (Otolaryngology) Physician	J7820	TX
2	207Y00000X	Otolaryngology Physician	J7820	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	224188	OTHER	TX	BEECHSTREET
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225025729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN CARY MOORHEAD MD

Provider Business Mailing Address
First Line	:	10740 N GESSNER DR
Second Line	:	STE 310
City	:	HOUSTON
State	:	TX
Zip	:	77064-1240
Country	:	US
Telephone Number	:	281-897-0416
Fax Number	:	281-890-8908

Provider Business Practice Location Address
First Line	:	915 GESSNER RD
Second Line	:	STE 225
City	:	HOUSTON
State	:	TX
Zip	:	77024-2518
Country	:	US
Telephone Number	:	713-467-5787
Fax Number	:	713-467-0965

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

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	08/09/2021

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Directions to “ JOHN CARY MOORHEAD MD” Practice Location

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