Charles M Moore MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E2300 Issued in TX

Legal business name

CHARLES M MOORE MD PA

Practice address

810 Peakwood Drive # 104
Houston, TX 77090

Phone

(281) 444-0742

Fax

(281) 440-1816

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles Mortimer Moore, MD

Title

Owner

Phone

(281) 444-0742

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1326226820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 PEAKWOOD DRIVE # 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-444-0742",
            "fax_number": "281-440-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 PEAKWOOD DRIVE # 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-444-0742",
            "fax_number": "281-440-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES M MOORE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MORTIMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-444-0742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E2300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles F. Gray, PH.D., P.C.
• Charles G Holmsten MD and Associates (Braeswood and Pasadena and Richmond Rosenberg Clinics)
• Anitra Charles Gabriel
• Charles Ho DDS PLLC
• Charles Joseph Guidry Jr (Daybreak Children's Services)
• Charles M. Hill, MD, PA
• Charles S Moser DDS PA
• Charles Shoetan MD a Medical Corporation
• Charles Wessel
• Joann Pauline Charles-Babb, NP

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.