Provider Demographics
NPI:1578571949
Name:MOOREHEAD, WILL EARL (MD)
Entity Type:Individual
Prefix:DR
First Name:WILL
Middle Name:EARL
Last Name:MOOREHEAD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5600 S WILLOW DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4713
Mailing Address - Country:US
Mailing Address - Phone:713-728-9266
Mailing Address - Fax:713-728-0233
Practice Address - Street 1:5600 S WILLOW DR
Practice Address - Street 2:SUITE 206
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4713
Practice Address - Country:US
Practice Address - Phone:713-728-9266
Practice Address - Fax:713-728-0233
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH5936207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXA35154Medicare UPIN