Organization
MICHELE K. MOORE, D.C.,P.C.
Active
Other names
Moore Chiropractic Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE KAY MOORE D.C. (OWNER)
(512) 459-5523
Entity
Organization
Contact information
Practice address
8301 SHOAL CREEK BLVD, AUSTIN, TX 78757-7525
(512) 459-5523
(512) 459-5877
Mailing address
8301 SHOAL CREEK BLVD, AUSTIN, TX 78757-7525
(512) 459-5523
(512) 459-5877
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972521607
NPI NUMBER BASED ON SS
TX
01
—
4982
TX STATE LICENSE
TX
01
—
603967
BLUE CROSS/BLUE SHIELD
TX
01
—
7425422662
TAX ID
TN
Enumeration date
10/23/2006
Last updated
02/15/2011
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