Organization
R ANTHONY MOORE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANTHONY MOORE MD (OWNER)
(214) 522-1960
Entity
Organization
Contact information
Practice address
3838 OAK LAWN, 908, DALLAS, TX 75219-4520
(214) 522-1960
(214) 522-2510
Mailing address
3838 OAK LAWN, 908, DALLAS, TX 75219-4520
(214) 522-1960
(214) 522-2510
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
E1070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1732166-01
—
TX
Enumeration date
01/28/2011
Last updated
01/28/2011
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