Individual
DAYNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 743-9098
Mailing address
3601 4TH ST STOP 8143, LUBBOCK, TX 79430-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
V5578
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2023
Last updated
06/25/2025
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