Individual
REGINALD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7703 FLOYD CURL DR, MC 7977, SAN ANTONIO, TX 78229-3901
(210) 871-4409
(201) 524-9599
Mailing address
PO BOX 40159, MC 7977, SAN ANTONIO, TX 78229
(210) 871-4409
(201) 524-9599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
H3354
TX
2080P0207X
Pediatric Hematology & Oncology Physician
H3354
TX
208M00000X
Hospitalist Physician
Primary
H3354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160234902
CSHCN
TX
05
—
160284901
—
TX
Enumeration date
08/30/2006
Last updated
06/23/2011
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