Individual
DR. LEE DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 E 29TH ST, SUITE 300, BRYAN, TX 77802-2622
(979) 776-5602
Mailing address
2900 E 29TH ST, SUITE 300, BRYAN, TX 77802-2622
(979) 776-5602
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N6504
TX
Other
Enumeration date
08/17/2008
Last updated
04/26/2013
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