MEDICARE: DR. BUFFORD D MOORE 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	207Q00000X	Family Medicine Physician	H0651	TX

General Provider Information

NPI Number	:	1881697183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BUFFORD D MOORE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 850001, DEPT 8340
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32885-0001
Country	:	US
Telephone Number	:	813-536-7277
Fax Number	:	855-830-1722

Provider Business Practice Location Address
First Line	:	1600 JAMES BOWIE DR STE D115
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77520-3340
Country	:	US
Telephone Number	:	281-425-3800
Fax Number	:	281-425-3992

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	10/27/2025

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