Moore, Tommy Earl
Moore, Tommy Earl is an sole proprietor health care provider with primary practice located at 816 W Cannon St , Fort Worth TX 76104-3146. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Moore, Tommy Earl can be contacted via phone (817) 321-0312.Contact Information
Primary practice address
816 W Cannon St
Fort Worth TX 76104-3146
Phone: (817) 321-0312
Fax: (817) 317-7033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | F4304 | Texas |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | F4304 | Texas |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | F4304 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | F4304 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | F4304 | Texas |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | F4304 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | F4304 | Texas |
Profile Details
| NPI number | 1881648624 |
|---|---|
| LBN Legal business name | Moore, Tommy Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Feb 17th, 2012 - about 12 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 | 1881648624 | NPPES |
| Texas | MEDICAID | 132698505 |
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