R ANTHONY MOORE MD PA NPI 1689970295

NPI Information

R ANTHONY MOORE MD PA is a medical specialty clinic center in Dallas, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). R ANTHONY MOORE MD PA NPI is 1689970295. The provider is registered as an organization entity type.

The provider's business location address is:

3838 OAK LAWN
908
DALLAS, TX
ZIP 75219-520
Phone: (214) 522-1960
Fax: (214) 522-2510

The provider's authorized official is Robert Anthony Moore .
The authorized official title is Owner and has the following contact phone number (214) 522-1960.

The enumeration date for this NPI number is 1/28/2011 and was last updated on 1/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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