Individual
DOROTHY J MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4700 HIGHWAY 365, SUITE D, PORT ARTHUR, TX 77642-7718
(409) 722-4476
(409) 722-0176
Mailing address
PO BOX 1563, NEDERLAND, TX 77627-1563
(409) 722-4476
(409) 722-0176
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0981
MS
111N00000X
Chiropractor
Primary
10552
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121595
—
MS
01
—
613058
PTAN
—
Enumeration date
04/19/2007
Last updated
08/31/2015
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