Individual
MR. JAMES C MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
248862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109803
—
TX
05
—
003109805
—
TX
05
—
003109807
—
TX
01
—
85446U
BCBS
TX
01
—
8952UG
BCBS TX
TX
01
—
P00428341
RAILROAD
—
Enumeration date
12/29/2005
Last updated
06/09/2020
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