Individual
WILLIAM C MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 HARRIS PKWY, SUITE 300, FORT WORTH, TX 76132-4255
(817) 292-8585
(855) 810-8998
Mailing address
4730 N HABANA AVE, STE 204, TAMPA, FL 33614-7148
(813) 549-2134
(813) 864-4436
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
M1948
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182329606
—
TX
05
—
182329607
—
TX
05
—
182329608
—
TX
Enumeration date
06/09/2006
Last updated
03/01/2018
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