Provider Demographics
NPI:1295028868
Name:A & T MOORE HEALTH CARE CORPORATION
Entity Type:Organization
Organization Name:A & T MOORE HEALTH CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-277-8606
Mailing Address - Street 1:325 S MESQUITE ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-1185
Mailing Address - Country:US
Mailing Address - Phone:817-277-8606
Mailing Address - Fax:817-277-8607
Practice Address - Street 1:325 S MESQUITE ST
Practice Address - Street 2:SUITE 105
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-1185
Practice Address - Country:US
Practice Address - Phone:817-277-8606
Practice Address - Fax:817-277-8607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006576251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health