Individual
CATHERINE PORTER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4095
(682) 885-7499
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-4446
(817) 810-1396
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
M8190
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD0000046294
TN
Other
Enumeration date
10/26/2007
Last updated
04/06/2021
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