Moore, Walter Scott

Moore, Walter Scott is an individual health care provider with primary practice located at 3000 North Ih 35 Ste 635, Austin TX 78705-1804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Moore, Walter Scott can be contacted via phone (512) 320-1500.

Contact Information

Primary practice address
3000 North Ih 35 Ste 635 Austin TX 78705-1804
Fax: (512) 320-1588
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X F5313 Texas

Profile Details

NPI number 1720021777
LBN Legal business name Moore, Walter Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 15th, 2015 - about 10 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 1720021777 NPPES
Texas MEDICAID 129315107

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