Individual
SPENCER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5303 HARRY HINES BLVD, 6TH FLOOR, DALLAS, TX 75390-7208
(214) 645-2020
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-2020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R78055
AZ
207W00000X
Ophthalmology Physician
R78055
AZ
207W00000X
Ophthalmology Physician
Primary
V0816
TX
Other
Enumeration date
04/27/2020
Last updated
04/27/2024
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