Mr Jonathan D Moore, LMT is a
Massage Therapist based in Navasota, Texas. Mr Jonathan D Moore is licensed to practice in Texas (license number MT109187) and his current practice location is
434 E Hill St, Navasota, Texas. He can be reached at his office (for appointments etc.) via phone at
(832) 248-5677.
NPI number for Mr Jonathan D Moore is 1508118233 and his current mailing address is 434 E Hill St, Navasota, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508118233.
Healthcare Provider's Profile
| Full Name | Mr Jonathan D Moore |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 434 E Hill St, Navasota, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508118233
- Provider Enumeration Date: 10/04/2012
- Last Update Date: 10/04/2012
Medical Identifiers
Medical identifiers for Mr Jonathan D Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508118233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT109187 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jonathan D Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jonathan D Moore, LMT
434 E Hill St,
Navasota, TX 77868-2428
Ph: (832) 248-5677 | Mr Jonathan D Moore, LMT
434 E Hill St,
Navasota, TX 77868-2428
Ph: (832) 248-5677 |
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