Cecilia Ann Moore in Lubbock - Nutrition, Pediatric
Cecilia Ann Moore - NPI 1528263514
Cecilia Ann Moore is a Nutrition, Pediatric in Lubbock, Texas. Cecilia Ann Moore practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Cecilia Ann Moore is 1528263514. The last update date is 2016-05-02.
Cecilia Ann Moore's current location address is 3601 4th St, Lubbock, Texas. You can contact this provider via phone number 8067437337 and fax number 8067437329. The mailing address for Cecilia Ann Moore is 3601 4th St, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Cecilia Ann Moore |
---|---|
Address | 3601 4th St, Lubbock, Texas |
Phone Number | 8067437337 |
Fax Number | 8067437329 |
Sole Proprietor | N |
Credentials | RD, LD |
NPI Number Detail
NPI Number | 1528263514 |
---|---|
Provider Enumeration Date | 2007-06-19 |
Last Updated Date | 2016-05-02 |
Provider Mailing Address Detail
Address | 3601 4th St |
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City | Lubbock |
State | Texas (TX) |
Post Code | 794309903 |
Phone Number | 8067437337 |
Fax Number | 8067437329 |
Provider's Primary Taxonomy Detail
Speciality | Nutrition, Pediatric |
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Taxonomy | 133Vn1004X |
Licence No | DT80334 |
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
13785036 | NM | -- | |
193439001 | TX | -- | |
8H8762 | TX | BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Cecilia Ann Moore by the Centers for Medicare & Medicaid Services?
The Cecilia Ann Moore has been assigned the NPI (National Provider Identifier) 1528263514 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Cecilia Ann Moore's facilities are geographically located?
The facilities of Cecilia Ann Moore are physically situated at the following location: 3601 4Th St, Lubbock, TX, 794309903.
What is Cecilia Ann Moore's area of expertise and its corresponding taxonomy classification?
The Cecilia Ann Moore's field of specialization is Nutrition, Pediatric, and it falls under the taxonomy code 133Vn1004X, which categorizes healthcare providers based on their areas of practice.
On what date did Cecilia Ann Moore receive its 1528263514 assignment from the Centers for Medicare & Medicaid Services?
The Cecilia Ann Moore was assigned its 1528263514 on 2007-06-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Cecilia Ann Moore, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Cecilia Ann Moore, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-05-02.
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