MEDICARE: DR. DAVID BYRON MOREHEAD D.O.

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	207V00000X	Obstetrics & Gynecology Physician	J4373	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	00229Z	OTHER	TX	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J4373	OTHER	TX	STATE MEDICAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295744035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID BYRON MOREHEAD D.O.

Provider Business Mailing Address
First Line	:	5933 E FM 875
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75167-8156
Country	:	US
Telephone Number	:	972-938-3685
Fax Number	:	972-937-5608

Provider Business Practice Location Address
First Line	:	1505 W JEFFERSON ST
Second Line	:	SUITE 120
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-2277
Country	:	US
Telephone Number	:	972-938-3493
Fax Number	:	972-937-5608

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	02/05/2014

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Directions to “ DR. DAVID BYRON MOREHEAD D.O.” Practice Location

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