Moore, Shawn P
Moore, Shawn P is an individual health care provider with primary practice located at 2000 S Mays St Ste 201 , Round Rock TX 78664-7580. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Moore, Shawn P can be contacted via phone (512) 244-4272.Contact Information
Primary practice address
2000 S Mays St Ste 201
Round Rock TX 78664-7580
Phone: (512) 244-4272
Fax: (512) 244-2895
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 24838 | Oklahoma |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 37505 | Alabama |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 04-32207 | Kansas |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ME141772 | Florida |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | R6846 | Texas |
Profile Details
NPI number | 1326093410 |
---|---|
LBN Legal business name | Moore, Shawn P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2006 |
Last updated | Apr 13th, 2021 - about 3 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 | 1326093410 | NPPES |
Oklahoma | MEDICAID | 200079770A | |
Oklahoma | Other | 24838 | |
Oklahoma | MEDICAID | 186639001 | |
Oklahoma | MEDICAID | 200418720A |
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