Organization
TIMOTHY R. MOORE, MD, PA
Active
Organization
TIMOTHY R. MOORE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY R MOORE MD (OWNER)
(325) 641-8648
Entity
Organization
Contact information
Practice address
2510 CROCKETT DR, SUITE B, BROWNWOOD, TX 76801-5928
(325) 641-8648
(325) 643-2227
Mailing address
PO BOX 171, BROWNWOOD, TX 76804-0171
(325) 641-8648
(325) 643-2227
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M0189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071MT
BCBS NUMBER
TX
Enumeration date
08/30/2006
Last updated
08/22/2020
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