Maribeth Dudley Moore (NPI# 1376530758, PAC ID# 2062400369) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1376530758 |
| PAC ID by PECOS | 2062400369 |
| Professional Enrollment ID | I20101006000783 |
| Full Name | Maribeth Dudley Moore |
| Organization Legal Name | FAMILY HEALTHCARE AFFILIATES PLLC |
| Address |
800 Riverwood Ct Suite 105 Conroe TX 77304-2824 |
| Phone Number | 9367604454 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7214925510 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450222 | CONROE REGIONAL MEDICAL CENTER |
| 670093 | ASPIRE BEHAVIORAL HEALTH OF CONROE, LLC |
| Address | Phone | Organization |
|---|---|---|
| 800 Riverwood Ct, Suite 105, Conroe, TX 77304-2824 | 9367604454 | FAMILY HEALTHCARE AFFILIATES PLLC |
| Organization Legal Name | FAMILY HEALTHCARE AFFILIATES PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Lea Kern | Family Medicine | Family Healthcare Affiliates Pllc | 800 Riverwood Ct, Suite 105, Conroe, TX 77304-2824 |
| Street Address |
800 RIVERWOOD CT SUITE 105 |
| City | CONROE |
| State | TX |
| Zip | 77304-2824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Lea Kern | Family Medicine | Family Healthcare Affiliates Pllc | 800 Riverwood Ct, Suite 105, Conroe, TX 77304-2824 |
| Fernando G Torres | Psychiatry | 800 Riverwood Ct, Suite 104, Conroe, TX 77304-2824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Stephen Ellis | General Surgery | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Alexander B Klein | Obstetrics/gynecology | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jerome C Young | Obstetrics/gynecology | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jeffrey A Przybyla | General Surgery | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Kelly K Gilmore-lynch | Colorectal Surgery (proctology) | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jessica L Cooper | Clinical Social Worker | Vericare PC | 99 Rigby Owen Rd, Conroe, TX 77304-1765 |
| Kenneth M Perkins | Chiropractic | 3504 W Davis, Conroe, TX 77304-1832 | |
| Harry K Eulitt | Chiropractic | 3401 W Davis, Conroe, TX 77304-1860 | |
| Michele Times | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 1701 Westview Blvd, Strake Place, Conroe, TX 77304-1911 |
| Jennifer L Boyd | Nurse Practitioner | Tri-county Behavioral Healthcare | 233 Sgt Ed Holcomb Blvd S, Conroe, TX 77304-1990 |
| Find all physicians in zip 77304 | |||
| City | CONROE |
| Zip Code | 77304 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CONROE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Maribeth Dudley Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.