Provider Demographics
NPI:1891791547
Name:MOORE, WILLIAM HUME (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HUME
Last Name:MOORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8350 N CENTRAL EXPY
Mailing Address - Street 2:STE M1025
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-1615
Mailing Address - Country:US
Mailing Address - Phone:214-543-3200
Mailing Address - Fax:214-368-5803
Practice Address - Street 1:8350 N CENTRAL EXPY
Practice Address - Street 2:STE M1025
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-1615
Practice Address - Country:US
Practice Address - Phone:214-543-3200
Practice Address - Fax:214-368-5803
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH9243208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics