Provider Demographics
NPI:1417969460
Name:DEES, TOM MOORE (MD)
Entity Type:Individual
Prefix:DR
First Name:TOM
Middle Name:MOORE
Last Name:DEES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3434 SWISS AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-6251
Mailing Address - Country:US
Mailing Address - Phone:214-828-5020
Mailing Address - Fax:214-828-5021
Practice Address - Street 1:3434 SWISS AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-6251
Practice Address - Country:US
Practice Address - Phone:214-828-5020
Practice Address - Fax:214-828-5021
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2008-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXC5650207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122120203Medicaid
TX87X756OtherBCBS
TX87X756Medicare PIN
TX87X756OtherBCBS
TX110126732Medicare PIN