Tommy Earl Moore in Fort Worth - Vascular & Interventional Radiology

Tommy Earl Moore - NPI 1881648624

Tommy Earl Moore is a Vascular & Interventional Radiology in Fort Worth, Texas. Tommy Earl Moore practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Tommy Earl Moore is 1881648624. The last update date is 2012-02-17.

Tommy Earl Moore's current location address is 816 W Cannon St, Fort Worth, Texas. You can contact this provider via phone number 8173210312 and fax number 8173177033. The mailing address for Tommy Earl Moore is 816 W Cannon St, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Tommy Earl Moore
Address 816 W Cannon St, Fort Worth, Texas
Phone Number 8173210312
Fax Number 8173177033
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1881648624
Provider Enumeration Date 2006-05-19
Last Updated Date 2012-02-17

Provider Mailing Address Detail

Address 816 W Cannon St
City Fort Worth
State Texas (TX)
Post Code 761043146
Phone Number 8173210312
Fax Number 8173177033

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No F4304
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
132698505 TX --

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FAQs about Tommy Earl Moore

What is the unique 10-digit identifier code issued to Tommy Earl Moore by the Centers for Medicare & Medicaid Services?

The Tommy Earl Moore has been assigned the NPI (National Provider Identifier) 1881648624 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Tommy Earl Moore is located?

The Tommy Earl Moore is situated at the following address: 816 W Cannon St, Fort Worth, TX, 761043146.

What is Tommy Earl Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tommy Earl Moore is Vascular & Interventional Radiology, and the taxonomy code that classifies this field of practice is 2085R0204X.

On what date did Tommy Earl Moore receive its 1881648624 assignment from the Centers for Medicare & Medicaid Services?

The Tommy Earl Moore was assigned its 1881648624 on 2006-05-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Tommy Earl Moore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tommy Earl Moore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-02-17.

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