Organization
CHARLES H MOORE, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H MOORE MD (PRESIDENT)
(361) 884-0033
Entity
Organization
Contact information
Practice address
613 ELIZABETH ST, SUITE 511, CORPUS CHRISTI, TX 78404-2220
(361) 884-0033
Mailing address
613 ELIZABETH ST, SUITE 511, CORPUS CHRISTI, TX 78404-2220
(361) 884-0033
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
D1744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058MH
BCBS
TX
05
—
115054205
—
TX
Enumeration date
02/26/2007
Last updated
09/09/2008
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