Moffett, Jeffrey Dean

Moffett, Jeffrey Dean is an individual health care provider with primary practice located at 2535 Ira E Woods Ave , Grapevine TX 76051-3930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Moffett, Jeffrey Dean can be contacted via phone (817) 481-2121.

Contact Information

Primary practice address
2535 Ira E Woods Ave Grapevine TX 76051-3930
Phone: (817) 481-2121
Fax: (817) 488-4493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X L1398 Texas

Profile Details

NPI number 1447257985
LBN Legal business name Moffett, Jeffrey Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Apr 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447257985 NPPES
Texas Other 8A6900 BLUE CROSS BLUE SHIELD
Texas MEDICAID 142195001 BLUE CROSS BLUE SHIELD

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