DR. TILLMAN MOODY DANIEL JR. (NPI# 1194151621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194151621 |
| Entity Type | Individual |
| Full Name | DR. TILLMAN MOODY DANIEL JR. |
| Credential | M.D. |
| Practice Address |
2721 Oak Dr. Bay City TX 77414 |
| Practice Telephone | 9792456211 |
| Mailing Telephone | 9792456211 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C-5021 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2721 OAK DR. |
| City | BAY CITY |
| State | TX |
| Zip Code | 77414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040436 | Bay City Pharmacy | Pharmacy | 3217 Avenue F, Bay City, TX 77414 | 2019-12-16 |
| 1013572585 | Amber Robinson | Massage Therapist | 11 Cr 126, 2, Bay City, TX 77414 | 2019-05-09 |
| 1699288076 | Paula Orsak | Dental Hygienist | 205 Ida Ave., Bay City, TX 77414 | 2017-11-08 |
| 1376905844 | Cathy Green | Nurse Practitioner | 600 Hospital Circle, Suite 201, Bay City, TX 77414 | 2016-03-24 |
| 1609277391 | Mary Elizabeth Young | Pharmacist | 2700 7th Street, Bay City, TX 77414 | 2014-09-12 |
| 1578863494 | Crayden Dennard, D.d.s. & Ricardo Lucio, D.d.s., Pllc | Dentist | 4040 Ave F, Bay City, TX 77414 | 2010-10-26 |
| 1770818247 | Jennifer Kaye Davis-lewis | Chiropractor | 720 Avenue F, Suite 2, Bay City, TX 77414 | 2009-10-16 |
| 1639321177 | Fondren Orthopedic Group L.l.p. | Orthopaedic Surgery | 720 Avenue F. North, Suite 5, Bay City, TX 77414 | 2008-10-15 |
| 1275684979 | Earl Stanley Brown | Optometrist | 3612 Ave F, Bay City, TX 77414 | 2007-01-16 |
| 1861578031 | Jeb Stuart James | Dentist | 2501 Ave I, Bay City, TX 77414 | 2006-10-31 |
| Find all providers in zip 77414 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790835114 | South Texas Medical Clinics, P.a. | General Practice | 1700 Golden Ave Ste 1001, Bay City, TX 77414-3189 | 2007-01-10 |
| 1992855357 | South Texas Medical Clinics, P.a. | General Practice | 1700 Golden Ave Ste 1002, Bay City, TX 77414-3189 | 2007-01-10 |
| 1689724015 | South Texas Medical Clinics, P.a. | General Practice | 1700 Golden Ave Ste 1003, Bay City, TX 77414-3189 | 2007-01-10 |
| 1174523757 | Cheryl F Sacco | General Practice | 1120 Avenue G, Bay City, TX 77414-3541 | 2005-07-26 |
| 1700126521 | Bay City Physical Medicine, P.a. | General Practice | 1221 Avenue F, Bay City, TX 77414-3413 | 2013-02-15 |
| 1740419456 | Walker Barton Griffith | General Practice | 101 Avenue F N, Bay City, TX 77414-3167 | 2009-07-02 |
| 1295931772 | Ivette Margarita Zarrillo | General Practice | 1484 Straits Dr Ste 5, Bay City, MI 48706-8718 | 2007-06-22 |
| 1295931699 | Joseph Vincent Zarrillo | General Practice | 1484 Straits Dr Ste 5, Bay City, MI 48706-8718 | 2007-06-22 |
| 1740348523 | South Texas Medical Clinics, P.a. | General Practice | 111 Avenue F, Bay City, TX 77414-4117 | 2006-12-05 |
| 1609876283 | Dane D Simons | General Practice | 1120 Avenue G, Bay City, TX 77414-3541 | 2005-07-26 |
| Find all providers in BAY CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.