Organization
MOORE COUNTY PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM KNISKERN (PFS DIRECTOR)
(806) 934-7813
Entity
Organization
Contact information
Practice address
224 E 2ND ST, DUMAS, TX 79029-3808
(806) 934-7813
Mailing address
PO BOX 420, DUMAS, TX 79029-0420
(806) 934-7813
(806) 934-7836
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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