Individual
DR. MILTON RAHMON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2632 BROADWAY ST STE 201N, SAN ANTONIO, TX 78215-1145
(210) 226-0040
(210) 226-0050
Mailing address
1314 E SONTERRA BLVD STE 2201, SAN ANTONIO, TX 78258-4287
(210) 496-5792
(210) 496-7601
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P5691
TX
207R00000X
Internal Medicine Physician
BP10039988
TX
Other
Enumeration date
06/10/2011
Last updated
10/16/2019
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