Individual
CHARLES H MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2627 CHESTNUT RIDGE DR, SUITE 100, KINGWOOD, TX 77339-2023
(281) 358-1950
(281) 358-1923
Mailing address
2627 CHESTNUT RIDGE DR, SUITE 100, KINGWOOD, TX 77339-2023
(281) 358-1950
(281) 358-1923
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F8954
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP0094
MEDICARE RR
TX
Enumeration date
07/22/2005
Last updated
02/03/2014
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