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Individual

DR. J. KATHLEEN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
809 SINGLETON BLVD, DALLAS, TX 75212-4014
(214) 540-0300
(214) 540-0308
Mailing address
809 SINGLETON BLVD, DALLAS, TX 75212-4014
(214) 540-0300
(214) 540-0308

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26000
MS
208000000X
Pediatrics Physician
Primary
J0605
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J0605
MEDICAL LIS
TX
Enumeration date
10/03/2006
Last updated
10/19/2023
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