Moore, Fred Michael
Moore, Fred Michael is an individual health care provider with primary practice located at 800 W Highway 71 , Marble Falls TX 78654-8606. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Moore, Fred Michael can be contacted via phone (830) 201-7100.Contact Information
Primary practice address
800 W Highway 71
Marble Falls TX 78654-8606
Phone: (830) 201-7100
Fax: (830) 201-7304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA02272 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA02272 | Texas |
Profile Details
| NPI number | 1467542282 |
|---|---|
| LBN Legal business name | Moore, Fred Michael |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jun 13th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467542282 | NPPES |
| Texas | Other | PA02272 | STATE LICENSE |
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