Individual
DR. LANCE D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
212 HWY 87, COMFORT, TX 78013-3705
(830) 995-3887
(830) 995-3393
Mailing address
PO BOX 68, COMFORT, TX 78013-0068
(830) 995-3887
(830) 995-3393
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
9117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00933403
RR MEDICARE
TX
Enumeration date
11/30/2006
Last updated
06/22/2016
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