Individual
PAUL TERRENCE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8722 GREENVILLE AVE, BLDG. E SUITE 102, DALLAS, TX 75243-7167
(972) 272-6558
(972) 200-5111
Mailing address
8722 GREENVILLE AVE, BLDG. E SUITE 102, DALLAS, TX 75243-7167
(972) 272-6558
(972) 200-5111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K 0137
TX
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
K0137
TX
Other
Enumeration date
10/04/2006
Last updated
08/31/2015
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