Organization
SANDRA V. MOORE MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA VELIA MOORE (PRESIDENT)
(972) 276-5500
Entity
Organization
Contact information
Practice address
700 WALTER REED BLVD, SUITE 301, GARLAND, TX 75042-3701
(972) 276-5500
Mailing address
700 WALTER REED BLVD, SUITE 301, GARLAND, TX 75042-3701
(972) 276-5500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F1836
TX
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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