MEDICARE: DR. WILL EARL MOOREHEAD 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	207X00000X	Orthopaedic Surgery Physician	H5936	TX

General Provider Information

NPI Number	:	1578571949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILL EARL MOOREHEAD M.D.

Provider Business Mailing Address
First Line	:	5600 S WILLOW DR
Second Line	:	SUITE 206
City	:	HOUSTON
State	:	TX
Zip	:	77035-4713
Country	:	US
Telephone Number	:	713-728-9266
Fax Number	:	713-728-0233

Provider Business Practice Location Address
First Line	:	5600 S WILLOW DR
Second Line	:	SUITE 206
City	:	HOUSTON
State	:	TX
Zip	:	77035-4713
Country	:	US
Telephone Number	:	713-728-9266
Fax Number	:	713-728-0233

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/08/2007

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