Portia Moore, MD

NPI #1780842112 in Conroe, Texas

Provider Information

NPI Number: 1780842112
Entity Type: Individual
Name: Portia Moore, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jun 2, 2008
Last Updated: Sep 29, 2014

Practice Location

Address: 404 RIVER POINTE DR
Address 2: STE. 100
City: Conroe
State: Texas
ZIP Code: 77304-2836
Phone: (936) 756-8108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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