Organization
GERALD C. MOORE, MD, PA
Active
Other names
North Texas Asthma & Allergy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD CLINTON MOORE M.D. (CEO)
(972) 867-1600
Entity
Organization
Contact information
Practice address
3721 W 15TH ST STE 602, PLANO, TX 75075-7755
(972) 867-1600
(972) 596-2819
Mailing address
3721 W 15TH ST STE 602, PLANO, TX 75075-7755
(972) 867-1600
(972) 596-2819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
657998
TX
207KA0200X
Allergy Physician
Primary
D9577
TX
207KA0200X
Allergy Physician
L5849
TX
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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