Individual
CHARLES F MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E TAYLOR ST, SUITE 308, SHERMAN, TX 75090-2881
(903) 957-6000
(903) 957-6003
Mailing address
600 E TAYLOR ST, SUITE 308, SHERMAN, TX 75090-2826
(903) 957-6000
(903) 957-6003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G8295
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097505403
—
TX
Enumeration date
06/13/2005
Last updated
04/06/2010
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