Moore, James Dillon

Moore, James Dillon is an individual health care provider with primary practice located at 133 N Fm 730 Unit 105 , Boyd TX 76023-3072. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Moore, James Dillon can be contacted via phone (940) 433-2151.

Contact Information

Primary practice address
133 N Fm 730 Unit 105 Boyd TX 76023-3072
Phone: (940) 433-2151
Fax: (940) 433-2366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 710553 Texas

Profile Details

NPI number 1417107905
LBN Legal business name Moore, James Dillon
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2008
Last updated Oct 31st, 2019 - about 6 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 1417107905 NPPES
Texas Other PENDING BCBSTX - WHS PS
Texas Other 8KB821 BCBSTX - WHS PS
Texas MEDICAID 336508207 BCBSTX - WHS PS
Texas MEDICAID PENDING BCBSTX - WHS PS

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