Provider Demographics
NPI:1982946232
Name:MOORE, PATRICIA JEANNE (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:JEANNE
Last Name:MOORE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:25331 RAYFORD CREST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2838
Mailing Address - Country:US
Mailing Address - Phone:713-294-0713
Mailing Address - Fax:
Practice Address - Street 1:25331 RAYFORD CREST DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-2838
Practice Address - Country:US
Practice Address - Phone:713-294-0713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1881207ZF0201X
FLOS5905207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology