MEDICARE: CURTISS MOORE

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
1	207RC0000X	Cardiovascular Disease Physician	P2498	TX
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	P2498	TX

General Provider Information

NPI Number	:	1184950503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURTISS MOORE

Provider Business Mailing Address
First Line	:	2800 E BROAD ST STE 522
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-6417
Country	:	US
Telephone Number	:	682-242-8970
Fax Number	:	214-947-8668

Provider Business Practice Location Address
First Line	:	2800 E BROAD ST STE 522
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-6417
Country	:	US
Telephone Number	:	682-242-8970
Fax Number	:	214-947-8668

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2009
Last Update Date	:	01/27/2023

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2800 E BROAD ST STE 522
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1962466367 — DR. ARASH MANZORI DO
Practice Location Address:

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1831366475 — ANTONIO REEVES ROZIER MD
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Directions to “ CURTISS MOORE ” Practice Location

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