Dr Julene Rae Moore, MD | |
1501 S Coulter St, Amarillo, TX 79106-1770 | |
(575) 707-3664 | |
Not Available |
Full Name | Dr Julene Rae Moore |
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Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1501 S Coulter St, Amarillo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144367426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207ZC0500X | Pathology - Cytopathology | P2039 (Texas) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | P2039 (Texas) | Primary |
Entity Name | Petroglyph Pathology Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033501747 PECOS PAC ID: 5698794097 Enrollment ID: O20150414000267 |
Mailing Address | Practice Location Address |
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Dr Julene Rae Moore, MD 2658 Central Park Blvd, Denver, CO 80238-2524 Ph: () - | Dr Julene Rae Moore, MD 1501 S Coulter St, Amarillo, TX 79106-1770 Ph: (575) 707-3664 |
Dr. Angela Marie Wright, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1301 S Coulter St, Ste 400, Amarillo, TX 79106 Phone: 806-212-5942 Fax: 806-212-2911 | |
James Matthew Hurly, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3501 S Soncy Rd, Suite 116, Amarillo, TX 79119 Phone: 806-355-7286 | |
Andrew Carl Hoot, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3501 S Soncy Rd, Suite 116, Amarillo, TX 79119 Phone: 806-355-7286 | |
Dr. Edward Theodore Trevino Ii, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 6010 W Amarillo Blvd, Amarillo, TX 79106 Phone: 806-355-9703 | |
James Edward Hamous, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3501 S Soncy Rd, Suite 116, Amarillo, TX 79119 Phone: 806-355-7286 | |
William Allen Carroll, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3501 S Soncy Rd, Suite 116, Amarillo, TX 79119 Phone: 806-355-7286 |