Organization
CHARLES F. MOONEY, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES FREDERICK MOONEY M.D. (PRESIDENT)
(903) 957-6000
Entity
Organization
Contact information
Practice address
600 E TAYLOR ST, SUITE 308, SHERMAN, TX 75090-2881
(903) 957-6000
(903) 957-6003
Mailing address
600 E TAYLOR ST, SUITE 308, SHERMAN, TX 75090-2881
(903) 957-6000
(903) 957-6003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G8295
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1631723
—
TX
Enumeration date
02/27/2007
Last updated
04/05/2010
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