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Individual

ADAN MORA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75284-1800
(214) 590-8000
(214) 645-6257
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M1950
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
M1950
TX
207RP1001X
Pulmonary Disease Physician
M1950
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193729403
TX
01
8AA852
BLUE CROSS
TX
Enumeration date
10/01/2007
Last updated
07/24/2023
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