Individual
CARRIE COLLEEN BUCHANAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D./PH.D., M.S.
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
5323 HARRY HINES BLVD DALLAS TX 75390, DALLAS, TX 75390-7201
(214) 456-7000
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
V1555
TX
Other
Enumeration date
03/30/2015
Last updated
10/02/2024
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