Provider Demographics
NPI:1619681400
Name:MOORE, FRANKLIN (DMIN)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:
Last Name:MOORE
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 HAMBLEDON VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1845
Mailing Address - Country:US
Mailing Address - Phone:281-352-8072
Mailing Address - Fax:
Practice Address - Street 1:4215 HAMBLEDON VILLAGE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1845
Practice Address - Country:US
Practice Address - Phone:281-352-8072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional