MEDICARE: DR. WILLIAM HUME MOORE MD

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	208000000X	Pediatrics Physician	H9243	TX

General Provider Information

NPI Number	:	1891791547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM HUME MOORE MD

Provider Business Mailing Address
First Line	:	8350 N CENTRAL EXPY
Second Line	:	STE M1025
City	:	DALLAS
State	:	TX
Zip	:	75206-1615
Country	:	US
Telephone Number	:	214-543-3200
Fax Number	:	214-368-5803

Provider Business Practice Location Address
First Line	:	8350 N CENTRAL EXPY
Second Line	:	STE M1025
City	:	DALLAS
State	:	TX
Zip	:	75206-1615
Country	:	US
Telephone Number	:	214-543-3200
Fax Number	:	214-368-5803

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. WILLIAM HUME MOORE MD” Practice Location

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