Provider Demographics
NPI:1770559270
Name:MOORE, ROBIN MICHELLE (DO)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:MICHELLE
Last Name:MOORE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BINZ ST STE 900
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6938
Mailing Address - Country:US
Mailing Address - Phone:713-524-9300
Mailing Address - Fax:713-524-9301
Practice Address - Street 1:1200 BINZ ST STE 900
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6938
Practice Address - Country:US
Practice Address - Phone:713-524-9300
Practice Address - Fax:713-524-9301
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1247207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177092703Medicaid
TX177092702Medicaid
TXP00415872OtherRAILROAD MEDICARE
TXH78185Medicare UPIN
TX177092703Medicaid
TX177092702Medicaid