# R ANTHONY MOORE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689970295
- **Authorized official:** ROBERT ANTHONY MOORE MD (OWNER)
- **Authorized official phone:** (214) 522-1960

## Contact information

- **Practice address:** 3838 OAK LAWN, 908, DALLAS, TX 75219-4520
- **Practice address phone:** (214) 522-1960
- **Practice address fax:** (214) 522-2510
- **Mailing address:** 3838 OAK LAWN, 908, DALLAS, TX 75219-4520
- **Mailing address phone:** (214) 522-1960
- **Mailing address fax:** (214) 522-2510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | E1070 | TX | Yes |

## Other

- **Enumeration date:** 01/28/2011
- **Last updated:** 01/28/2011