Individual
ELIZABETH ANN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12221 MERIT DR, DALLAS, TX 75251-2202
(214) 217-1911
Mailing address
502 S WINNETKA AVE, DALLAS, TX 75208-5905
(214) 941-4646
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M7444
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188219301
—
TX
05
—
188219302
—
TX
01
—
8X1233
BCBS
TX
01
—
P00650234
RAILROAD
TX
Enumeration date
08/01/2007
Last updated
10/14/2013
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