Provider Demographics
NPI:1235458076
Name:MOORE, ALTON EARL II (DO)
Entity Type:Individual
Prefix:DR
First Name:ALTON
Middle Name:EARL
Last Name:MOORE
Suffix:II
Gender:M
Credentials:DO
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Mailing Address - Street 1:18951 N MEMORIAL DR
Mailing Address - Street 2:STE 153
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4217
Mailing Address - Country:US
Mailing Address - Phone:281-319-8409
Mailing Address - Fax:281-540-7109
Practice Address - Street 1:18951 N MEMORIAL DR
Practice Address - Street 2:STE 153
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4217
Practice Address - Country:US
Practice Address - Phone:281-319-8409
Practice Address - Fax:281-540-7109
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2023-04-04
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Provider Licenses
StateLicense IDTaxonomies
TXN5259207QA0505X, 208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist