Individual
CHANCE CAMERON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2833 BABCOCK ROAD, TOWER II, SUITE 435, SAN ANTONIO, TX 78229-3901
(210) 705-5060
Mailing address
2833 BABCOCK RD, TOWER III SUITE 435, SAN ANTONIO, TX 78229
(210) 705-5060
(210) 705-5171
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
82573
GA
207X00000X
Orthopaedic Surgery Physician
Primary
S5229
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
S5229
TX
390200000X
Student in an Organized Health Care Education/Training Program
581974
TX
Other
Enumeration date
03/26/2014
Last updated
09/01/2020
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