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NPI Code Detail

MEDICARE: MEGAN CAROLINE MOORE MD

MEDICARE:   MEGAN CAROLINE MOORE  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
1208600000XSurgery PhysicianW3578TX

General Provider Information

NPI Number : 1346861077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN CAROLINE MOORE MD
Provider Business Mailing Address
First Line : 1825 OLD DAVID CROCKETT HWY
Second Line :
City : WINCHESTER
State : TN
Zip : 37398-3487
Country : US
Telephone Number : 931-308-7325
Fax Number :
Provider Business Practice Location Address
First Line : 6620 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2348
Country : US
Telephone Number : 832-355-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2020
Last Update Date : 02/05/2026

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Directions to “ MEGAN CAROLINE MOORE MD” Practice Location

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