Individual
DR. TYLER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 COLLINWOOD AVE, FORT WORTH, TX 76107-3606
(817) 732-5593
(817) 342-0388
Mailing address
5000 COLLINWOOD AVE., FORT WORTH, TX 76107-3606
(817) 732-5593
(817) 342-0388
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R2178
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372818001
—
TX
Enumeration date
06/05/2013
Last updated
07/21/2022
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