Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP10034501 | TX |
N | 111NI0900X | Internist | BP10034501 | TX |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | P2498 | TX |
NPI | 1184950503 |
---|---|
Provider Name | Curtiss Moore |
First Address | Mansfield, TX 76063-6417 |
Second Address | Mansfield, TX 76063-6417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2009 |
Last Update Date | 18/11/2021 |