Moore, Craig L

Moore, Craig L is an sole proprietor health care provider with primary practice located at 206 Pine Tree Rd. , Longview TX 75604-4104. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Moore, Craig L can be contacted via phone (903) 759-1145.

Contact Information

Primary practice address
206 Pine Tree Rd. Longview TX 75604-4104
Fax: (903) 759-1170
Website:

Health care specialties

Profile Details

NPI number 1598832768
LBN Legal business name Moore, Craig L
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Jul 9th, 2007 - about 19 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 1598832768 NPPES
Texas Other 00FJ95 BCBS

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