Michele Kay Moore in Austin - Sports Physician

Michele Kay Moore - NPI 1972521607

Michele Kay Moore is a Sports Physician in Austin, Texas. Michele Kay Moore practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Michele Kay Moore is 1972521607. The last update date is 2019-05-27.

Michele Kay Moore's current location address is 7951 Shoal Creek Blvd Ste 230, Austin, Texas. You can contact this provider via phone number 5124595523 and fax number 5124595877. The mailing address for Michele Kay Moore is 7951 Shoal Creek Blvd Ste 230, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Michele Kay Moore
Address 7951 Shoal Creek Blvd Ste 230, Austin, Texas
Phone Number 5124595523
Fax Number 5124595877
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1972521607
Provider Enumeration Date 2006-07-18
Last Updated Date 2019-05-27

Provider Mailing Address Detail

Address 7951 Shoal Creek Blvd Ste 230
City Austin
State Texas (TX)
Post Code 787577567
Phone Number 5124595523
Fax Number 5124595877

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 4982
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4982 TX STATE LICENCE
603967 TX BLUE CROSS BLUE SHIELD
742542662 TX IRS
C06039679 TX --

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FAQs about Michele Kay Moore

What is the unique 10-digit identifier code assigned to Michele Kay Moore by the Centers for Medicare & Medicaid Services?

The Michele Kay Moore has been issued the NPI (National Provider Identifier) 1972521607 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Michele Kay Moore is located?

The Michele Kay Moore is situated at the following address: 7951 Shoal Creek Blvd Ste 230, Austin, TX, 787577567.

What is Michele Kay Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michele Kay Moore is Sports Physician, and the taxonomy classification code that categorizes this area of expertise is 111Ns0005X.

When was the Michele Kay Moore's 1972521607 issued?

The Michele Kay Moore's 1972521607 was issued on 2006-07-18.

When was the information regarding Michele Kay Moore most recently updated?

The details pertaining to the Michele Kay Moore, including its address, specialty, and other relevant information, were last refreshed on 2019-05-27.

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