Moate, Michelle

Moate, Michelle is an individual health care provider with primary practice located at 1750 N Hampton Rd , Desoto TX 75115-2306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Moate, Michelle can be contacted via phone (214) 946-4397.

Contact Information

Primary practice address
1750 N Hampton Rd Desoto TX 75115-2306
Phone: (214) 946-4397
Fax: (214) 946-4399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X K0348 Texas

Profile Details

NPI number 1164405734
LBN Legal business name Moate, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jan 24th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164405734 NPPES
Oklahoma MEDICAID 117653906

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