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Individual

ROBERT ALAN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9100 FOREST XING STE A, THE WOODLANDS, TX 77381-1194
(936) 755-4412
(713) 422-2169
Mailing address
7010 CHAMPIONS PLAZA DR STE 400, HOUSTON, TX 77069-2395
(936) 755-4412
(713) 442-2169

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E6533
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
E6533
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
E6533
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128787203
TX
05
128787208
TX
05
128787209
TX
01
P01097809
RAILROAD MEDICARE
TX
Enumeration date
08/10/2006
Last updated
07/27/2021
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