Individual
TIMOTHY RICHARD MOORE
Active
Individual
TIMOTHY RICHARD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M-12911
ID
207RC0000X
Cardiovascular Disease Physician
M0189
TX
207RI0011X
Interventional Cardiology Physician
M-12911
ID
Other
Enumeration date
06/22/2006
Last updated
02/15/2022
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