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NPI Code Detail

MEDICARE: EMMA MARMION MOORE PA-C

MEDICARE:   EMMA MARMION MOORE  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA17654TX

General Provider Information

NPI Number : 1861123440
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA MARMION MOORE PA-C
Provider Business Mailing Address
First Line : 451 KINGWOOD MEDICAL DR STE 200
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-6408
Country : US
Telephone Number : 281-359-2080
Fax Number :
Provider Business Practice Location Address
First Line : 451 KINGWOOD MEDICAL DR STE 200
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-6408
Country : US
Telephone Number : 281-359-2080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2022
Last Update Date : 12/10/2025

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Directions to “ EMMA MARMION MOORE PA-C” Practice Location

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