Organization
CHARLES M MOORE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MORTIMER MOORE MD (OWNER)
(281) 444-0742
Entity
Organization
Contact information
Practice address
810 PEAKWOOD DRIVE # 104, HOUSTON, TX 77090
(281) 444-0742
(281) 440-1816
Mailing address
810 PEAKWOOD DRIVE # 104, HOUSTON, TX 77090
(281) 444-0742
(281) 440-1816
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2300
TX
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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