DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DYESE MOODY

MEDICARE: DYESE MOODY
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
1208D00000XGeneral Practice Physician0101288286VA

General Provider Information

NPI Number : 1770341992
Entity Type Code : Individual
Provider Name (Legal Business Name) : DYESE MOODY
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-292-3410
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-292-3410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2024
Last Update Date : 01/27/2026

Similar Medicare Providers

1902663404 — FRANCESCA GENERA DO
Practice Location Address:
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
78234-4504
Practice Phone: 210-916-5000
Practice Fax: 210-916-2077
1538018809 — JOHN REILLY ZABLOTNEY MD
Practice Location Address:
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
78234-4504
Practice Phone: 210-916-8666
Practice Fax:
1528839214 — JOY DUER FERRE MD
Practice Location Address:
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
78234-4504
Practice Phone: 210-916-8666
Practice Fax:
1467214767 — GABRIELLE MARIE COLLINS FANNIN MD
Practice Location Address:
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
78234-4504
Practice Phone: 210-916-8666
Practice Fax:
1396595963 — WILLIAM BRIAN POWELL MD
Practice Location Address:
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
78234-4504
Practice Phone: 210-916-0808
Practice Fax: 210-916-6654
1033261433 — CHERYL ANNE DAVIS CRNP
Practice Location Address:
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
78234-4504
Practice Phone: 210-539-9582
Practice Fax:

Directions to “ DYESE MOODY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.