Individual
LEN MOORE OUZTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10298 COTTONWOOD RD, VERNON, TX 76384-5714
(940) 552-7221
(940) 552-2509
Mailing address
PO BOX 1869, VERNON, TX 76385-1869
(940) 552-7221
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01059906A
IN
208D00000X
General Practice Physician
Primary
H2041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200496480
—
IN
Enumeration date
12/29/2005
Last updated
06/09/2015
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