T Robert Moffett in Little Rock - Specialist

T Robert Moffett - NPI 1487655247

T Robert Moffett is a Specialist in Little Rock, Arkansas. T Robert Moffett practices all healthcare services and medical treatments related to Specialist. The NPI Number for T Robert Moffett is 1487655247. The last update date is 2010-07-13.

T Robert Moffett's current location address is 11300 N Rodney Parham Rd, Little Rock, Arkansas. You can contact this provider via phone number 5016634100 and fax number 5016634145. The mailing address for T Robert Moffett is 11300 N Rodney Parham Rd, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name T Robert Moffett
Address 11300 N Rodney Parham Rd, Little Rock, Arkansas
Phone Number 5016634100
Fax Number 5016634145
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1487655247
Provider Enumeration Date 2005-08-02
Last Updated Date 2010-07-13

Provider Mailing Address Detail

Address 11300 N Rodney Parham Rd
City Little Rock
State Arkansas (AR)
Post Code 722124153
Phone Number 5016634100
Fax Number 5016634145

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No R4045
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11923000000 AR QUALCHOICE
117396001 AR --

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FAQs about T Robert Moffett

What is the unique 10-digit identifier code assigned to T Robert Moffett by the Centers for Medicare & Medicaid Services?

The T Robert Moffett has been issued the NPI (National Provider Identifier) 1487655247 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where T Robert Moffett is physically located?

The T Robert Moffett is situated at the following address: 11300 N Rodney Parham Rd, Little Rock, AR 722124153.

What is T Robert Moffett'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 T Robert Moffett is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date was the 1487655247 assigned to T Robert Moffett?

The T Robert Moffett was issued its 1487655247 on 2005-08-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to T Robert Moffett most recently updated or refreshed?

The details pertaining to the T Robert Moffett, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-07-13.

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