Moses Way

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MOSES WAY

Practice address

1024 Trailwood Dr
Desoto, TX 75115-5544

Phone

(469) 964-1247

Fax

(469) 297-4417

NPI assigned

Apr 14, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Freddie Lee Miller Jr.

Title

Program Director

Phone

(469) 964-1247

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1376939413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 TRAILWOOD DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155544",
            "telephone_number": "469-964-1247",
            "fax_number": "469-297-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 TRAILWOOD DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155544",
            "telephone_number": "469-964-1247",
            "fax_number": "469-297-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES WAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "FREDDIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "469-964-1247",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Murray Moore, DDS
• Shirley Ann Moreland
• Jerry Meldon Morgan, MD
• Uquisha Mosely, LPC, LCDC-I, CSTIP
• Moses Ramos MD PA
• Gurubasappa V Motgi, M.D.
• Mother Dozier'S House of Love
• MRI Centers of Texas, LLC-de Soto Series
• Ms. Rays Bizzness LLC
• Michelle Bailey Muckelroy, LPC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Desoto, TX
• Providers in Desoto, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.