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Organization
TERRENCE L. MOORE, M.D. P.A
Active
Organization
TERRENCE L. MOORE, M.D. P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY K FISCHER (OFFICE MANAGER)
(940) 565-1565
Entity
Organization
Contact information
Practice address
2324 SAN JACINTO BLVD, #219, DENTON, TX 76205-7534
(940) 565-1565
(940) 383-1674
Mailing address
2324 SAN JACINTO BLVD, DENTON, TX 76205-7534
(940) 565-1565
(940) 383-1674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079957901
—
TX
Enumeration date
08/10/2005
Last updated
06/30/2010
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