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Organization
MOORE CHIROPRACTIC CENTER
Active
Organization
MOORE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J KENNETH MOORE D.C. (OWNER)
(940) 383-9399
Entity
Organization
Contact information
Practice address
707 SUNSET ST, DENTON, TX 76201-2668
(940) 383-9399
(940) 566-8630
Mailing address
707 SUNSET ST, DENTON, TX 76201-2668
(940) 383-9399
(940) 566-8630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC5766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005MS
BCBS GROUP PIN
TX
05
—
088445401
—
TX
05
—
175172901
—
TX
01
—
8S3560
BCBS PIN
TX
Enumeration date
02/21/2007
Last updated
04/25/2008
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