Individual
WALTER SCOTT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 NORTH IH 35, STE 635, AUSTIN, TX 78705-1804
(512) 320-1500
(512) 320-1588
Mailing address
408 W 45TH ST, AUSTIN, TX 78751-3014
(512) 451-5800
(512) 459-1399
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
F5313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129315107
—
TX
Enumeration date
06/14/2006
Last updated
07/15/2015
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