Individual
DR. MICHAEL WILLIAM SHAW MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10740 N GESSNER RD, STE 310, HOUSTON, TX 77064-1240
(281) 897-0416
(281) 890-8908
Mailing address
2500 TANGLEWILDE ST, STE 160, HOUSTON, TX 77063-2100
(713) 780-9660
(713) 974-3672
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
LL33725
SC
207Y00000X
Otolaryngology Physician
Primary
Q6968
TX
Other
Enumeration date
06/18/2011
Last updated
08/09/2021
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