Carla G Moore is a Pediatrics in Austin, Texas. Carla G Moore practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Carla G Moore is 1235397597. The last update date is 2009-05-08.
Carla G Moore's current location address is 3607 Manchaca Rd, Austin, Texas. You can contact this provider via phone number 5124447219 and fax number 5124446005. The mailing address for Carla G Moore is 3607 Manchaca Rd, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carla G Moore |
|---|---|
| Address | 3607 Manchaca Rd, Austin, Texas |
| Phone Number | 5124447219 |
| Fax Number | 5124446005 |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1235397597 |
|---|---|
| Provider Enumeration Date | 2008-05-22 |
| Last Updated Date | 2009-05-08 |
Provider Mailing Address Detail
| Address | 3607 Manchaca Rd |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787045947 |
| Phone Number | 5124447219 |
| Fax Number | 5124446005 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1059046 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the Carla G Moore's unique identification number?
The Carla G Moore has been assigned the NPI (National Provider Identifier) Number 1235397597 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Carla G Moore's facilities are situated?
The facilities of Carla G Moore are physically located at the following address: 3607 Manchaca Rd, Austin, TX, 787045947.
What is the Carla G Moore's specialty and taxonomy code?
The Carla G Moore's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
When did the Carla G Moore receive its 1235397597?
The Carla G Moore was issued its 1235397597 on 2008-05-22, which is the date when the organization was assigned this unique identifier.
As of what date were the Carla G Moore's details last updated?
The information pertaining to the Carla G Moore, including its address, specialty, and other details, was most recently updated on 2009-05-08.