Philip Alan Moore, M.D.

Surgery Physician · Grapevine, TX

Individual Active NPI

NPI number 1053346817

Practice location

1600 Lancaster Dr
Suite 103
Grapevine, TX 76051-3579
Phone
(817) 488-5170
Fax
(817) 488-6270

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NPI record

NPI
1053346817
Entity type
Individual (Type 1)
Enumeration date
July 11, 2006
Last updated
May 13, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X F1835 TX

About Dr. Moore

Philip Alan Moore, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1600 Lancaster Dr, Suite 103, Grapevine, TX 76051-3579. The NPI number 1053346817 was assigned on July 11, 2006 and the record was last updated on May 13, 2015.

Dr. Moore lists a license in the registry: #F1835 (TX) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Philip Alan Moore, M.D.?

The NPI number is 1053346817.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (817) 488-5170.

Where is Dr. Moore located?

1600 Lancaster Dr, Suite 103, Grapevine, TX 76051-3579.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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