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A. G. Moore M.d, P.a.
Specialist in Shenandoah, Texas
NPI 1255515235

A. G. Moore M.d, P.a. is a Specialist based in Shenandoah, TX. A. G. Moore M.d, P.a. practices in Shenandoah, TX. The NPI Number for A. G. Moore M.d, P.a. is 1255515235 and holds a License No. E8741 (Texas).

The current practice location address for A. G. Moore M.d, P.a. is 1120 Medical Plaza Dr, Shenandoah, TX and can be reached out via phone at 281-296-8686 and via fax at 281-292-8804.

Location: 1120 Medical Plaza Dr, Shenandoah, TX, 77380-3242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255515235
Provider Name
A. G. Moore M.d, P.a.
Credential
Provider Entity Type
Organization
Address
1120 Medical Plaza Dr, Shenandoah, TX, 77380-3242
Phone Number
281-296-8686
Fax Number
281-292-8804
Provider Enumeration Date
12/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0042DW 01 TX BCBS
E8741 01 TX TX STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1120 Medical Plaza Dr
City
Shenandoah
State
Texas
Zip
77380-3242
Phone Number
281-296-8686
Fax Number
281-292-8804
person
Provider Business Mailing Address Details
Address
1120 Medical Plaza Dr
City
Shenandoah
State
Texas
Zip
77380-3242
Phone Number
281-296-8686
Fax Number
281-292-8804
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
E8741 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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