Moore Custard LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MOORE CUSTARD LLC

Doing business as

Moore Speech

Practice address

20111 FM 2100 Rd Ste 106
Crosby, TX 77532-3730

Phone

(832) 642-1889

Fax

(346) 477-8157

NPI assigned

May 10, 2023

Organization subpart

No

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

Authorized official

Name

Rebecca Ray Buckner, MS, CCC/SLPNPI 1942916663

Title

Owner

Phone

(832) 642-1889

Specialties & licenses 1

Addresses

Other names 1

• Moore Speech Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Ray Buckner, M.S., CCC - SLP

  • Speech-Language Pathologist
  • Crosby, TX
  • NPI 1942916663
  NPD Authorized official

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1639869969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 SILVER MOON TRL",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775323503",
            "telephone_number": "832-642-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20111 FM 2100 RD STE 106",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775323730",
            "telephone_number": "832-642-1889",
            "fax_number": "346-477-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CUSTARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-642-1889",
        "authorized_official_credential": "MS, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Speech",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moore Speech",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Crosby, TX
• Providers in Crosby, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.