Provider Demographics
NPI:1265655567
Name:MORING, SYLVIA ARLENE (MD)
Entity type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:ARLENE
Last Name:MORING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 VENETIAN CIR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-3307
Mailing Address - Country:US
Mailing Address - Phone:817-795-7222
Mailing Address - Fax:
Practice Address - Street 1:1715 VENETIAN CIR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-3307
Practice Address - Country:US
Practice Address - Phone:817-795-7222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH91192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE36520Medicare UPIN