Individual
DR. JAMES OTIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4330 MEDICAL DR, STE 500, SAN ANTONIO, TX 78229-3342
(210) 576-0645
(210) 694-0645
Mailing address
4330 MEDICAL DR, STE 500, SAN ANTONIO, TX 78229-3318
(210) 576-5306
(210) 694-0645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H6449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262940YL7N
WELLMED NETWORKS INC
TX
01
—
TXB150017
WELLMED MEDICAL GROUP PA
—
Enumeration date
09/06/2006
Last updated
09/30/2016
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