Moore, Thomas Wylie

Moore, Thomas Wylie is an individual health care provider with primary practice located at 16651 Southwest Fwy Suite 360, Sugar Land TX 77479-2345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moore, Thomas Wylie can be contacted via phone (713) 772-1200.

Contact Information

Primary practice address
16651 Southwest Fwy Suite 360 Sugar Land TX 77479-2345
Phone: (713) 772-1200
Fax: (281) 491-0426
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X J4371 Texas

Profile Details

NPI number 1568557577
LBN Legal business name Moore, Thomas Wylie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 3rd, 2019 - about 7 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 1568557577 NPPES
Texas Other 20033056 MEDICARE RR
Texas Other 5834481 MEDICARE RR
Texas Other 10018768 MEDICARE RR
Texas Other 3974024 MEDICARE RR
Texas MEDICAID 0479214-01 MEDICARE RR

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