Individual
FROSTY DOYLE RANDALL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13830 SAWYER RANCH RD, DRIPPING SPRINGS, TX 78620-5513
(512) 894-2294
Mailing address
13830 SAWYER RANCH RD, DRIPPING SPRINGS, TX 78620-5513
(512) 894-2294
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G1959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1286726-06
—
TX
05
—
128726-02
—
TX
01
—
8M5473
BC/BS
TX
Enumeration date
06/10/2005
Last updated
10/19/2017
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