Philip A. Moore, M.d., P.a.

NPI #1730478744 in Grapevine, Texas

Provider Information

NPI Number: 1730478744
Entity Type: Organization
Organization Name: Philip A. Moore, M.d., P.a.
Primary Specialty: Surgery
Enumeration Date: Mar 30, 2011
Last Updated: Mar 30, 2011

Practice Location

Address: 1600 W COLLEGE ST
Address 2: SUITE LL20
City: Grapevine
State: Texas
ZIP Code: 76051-3580
Phone: (817) 488-5170

Authorized Official

Name: DR. PHILIP ALAN MOORE, M.D.
Title: OWNER
Phone: (817) 488-5170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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