Individual
PAUL B. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4005
(512) 901-3905
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4005
(512) 901-3905
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E4542
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123751303
—
TX
Enumeration date
03/21/2006
Last updated
01/28/2022
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