Individual provider · NPI-1
Shawn P Moore, MD
Neurological Surgery · Round Rock, TX
NPI number1326093410
StatusActive
Last updated in NPPESApr 13, 2021
Details
- NPI
- 1326093410
- Entity type
- Individual (NPI-1)
- Name
- Shawn P Moore
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2006
- Certification date
- Apr 13, 2021
- Last updated
- Apr 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | R6846 | TX | Yes |
| 174400000X | Specialist | 24838 | OK | |
| 207T00000X | Neurological Surgery | 37505 | AL | |
| 207T00000X | Neurological Surgery | 04-32207 | KS | |
| 207T00000X | Neurological Surgery | ME141772 | FL |
Practice location
2000 S Mays St Ste 201Round Rock, TX 78664-7580
Phone 512-244-4272 · Fax 512-244-2895
Mailing address
10740 Palm River Rd Ste 300Tampa, FL 33619-4577
Phone 813-651-3300 · Fax 813-651-4455
Other practice locations
10740 Palm River Rd Ste 300
Tampa, FL 33619-4577
Tampa, FL 33619-4577
Phone 813-651-3300 · Fax 813-651-4455
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