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Contact Information

STACEY D MOORE, M.D.
5373 W ALABAMA ST STE 204
HOUSTON, TX77056-5923
 Phone: 832-299-5229
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
 

Physician Nutrition Specialist

2086P0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STACEY D MOORE · (Female)

NPI Number 1982887493
Status Active
Credentials M.D.
Entity Individual
Enumeration date 12/07/2007
Last updated 05/29/2026 - Less than a week ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 206758
  • DC License # MD600005992
  • GA License # 112023
  • KY License # 61731
  • MD License # D0105958
  • OH License # 35.154137
  • TX License # M8193
  • VA License # 0101289204
  • TX Medicaid 196912302
  • TX Other 8CA598 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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