| P Terrence Moore Md Pa | |
|
8722 Greenville Ave Suite 102 Dallas TX 75243-7167 | |
| (972) 272-6558 | |
| (972) 200-5111 |
| Full Name | P Terrence Moore Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8722 Greenville Ave, Dallas, Texas |
| Authorized Official Name and Position | Paul T Moore (PHYSICIAN) |
| Authorized Official Contact | 9722726558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| P Terrence Moore Md Pa 8722 Greenville Ave Suite 102 Dallas TX 75243-7167 Ph: (972) 272-6558 | P Terrence Moore Md Pa 8722 Greenville Ave Suite 102 Dallas TX 75243-7167 Ph: (972) 272-6558 |
| NPI Number | 1922473651 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 12/07/2015 |
| Medicare PECOS PAC ID | 1951602135 |
|---|---|
| Medicare Enrollment ID | O20151216001080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922473651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Secondary |
| Provider Name | Paul Terrence Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912092156 PECOS PAC ID: 6204927502 Enrollment ID: I20070731000706 |
| Provider Name | Robyn T Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255527156 PECOS PAC ID: 3779612726 Enrollment ID: I20100601000148 |
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