Sandra V. Moore Mdpa

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F1836 Issued in TX

Legal business name

SANDRA V. MOORE MDPA

Practice address

700 Walter Reed Blvd
Suite 301
Garland, TX 75042-3701

Phone

(972) 276-5500

NPI assigned

May 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Velia Moore

Title

President

Phone

(972) 276-5500

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245442128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WALTER REED BLVD",
            "address_2": "SUITE 301",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750423701",
            "telephone_number": "972-276-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WALTER REED BLVD",
            "address_2": "SUITE 301",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750423701",
            "telephone_number": "972-276-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA V. MOORE MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "VELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-276-5500"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "F1836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth T Samuel, DMD
• Markeisha Samuel
• Kassandra T. Sanchez, MS, LPC
• Johnny Sanders Jr.
• Shelby Lynn Sanderson, MS
• Sanjeck Health Care Services
• Gilberta Santana, APRN
• Godfrey Santillana, LPC
• Simon C Santillanes, PTA
• Katelyn Blair Sapundjieff, COTA

• Surgery Physician in Garland, TX
• Providers in Garland, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.