Moore, Eddie P

Moore, Eddie P is an individual health care provider with primary practice located at 1900 Pine St , Abilene TX 79601-2432. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Moore, Eddie P can be contacted via phone (325) 670-2151.

Contact Information

Primary practice address
1900 Pine St Abilene TX 79601-2432
Phone: (325) 670-2151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X E4540 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E4540 Texas

Profile Details

NPI number 1710976675
LBN Legal business name Moore, Eddie P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Mar 19th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710976675 NPPES
Texas MEDICAID 139147616
Texas Other P01132174
Texas MEDICAID 139147617

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