Individual
JAMES N MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
221 3RD STREET WEST, 359 MEDICAL GROUP, JBSA-RANDOLPH AFB, TX 78150
(210) 652-8544
Mailing address
221 3RD STREET WEST, 359 MEDICAL GROUP, JBSA-RANDOLPH AFB, TX 78150
(210) 652-8544
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2016-0009
NM
363AM0700X
Medical Physician Assistant
PA9107961
FL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
04/20/2009
Last updated
03/25/2025
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