Sandra V. Moore Mdpa

NPI #1245442128 in Garland, Texas

Provider Information

NPI Number: 1245442128
Entity Type: Organization
Organization Name: Sandra V. Moore Mdpa
Primary Specialty: Surgery
Enumeration Date: May 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 700 WALTER REED BLVD
Address 2: SUITE 301
City: Garland
State: Texas
ZIP Code: 75042-3701
Phone: (972) 276-5500

Authorized Official

Name: SANDRA VELIA MOORE
Title: PRESIDENT
Phone: (972) 276-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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