| Doctor Name: | MR. MYRON ERNEST MOOREHEAD |
| NPI Number: | 1104993708 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD4222R |
| Business Practice Address: | 200 W Esplanade Avenue Ste 702 Kenner, LA - 70065 |
| Business Phone Number: | 5044670770 |
| Business Fax Number: | 5044670791 |
| Mailing Address: | 200 W Esplanade Avenue, Suite 702 KENNER |
| State: | LA |
| Postal Code: | 70065 |
| Phone Number: | 5044670770 |
| Fax Number: | 5044670791 |
| NPI Enumeration Date: | 11/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | MD4222R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |