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Individual
REGINALD MOORE
Active
Individual
REGINALD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
H3354
TX
2080P0207X
Pediatric Hematology & Oncology Physician
H3354
TX
208M00000X
Hospitalist Physician
Primary
H3354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160234902
CSHCN
TX
05
—
160284901
—
TX
Enumeration date
08/30/2006
Last updated
06/23/2011
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