NPI 1265507941 · live from the CMS NPI Registry
Angela Yen Moore, MD PA
Dermatology in Arlington, TX. National Provider Identifier 1265507941, active.
NPI record
| NPI | 1265507941 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 711 E Lamar Blvd, Suite 200, Arlington, TX 76011 |
| Practice phone | 817-795-7546 |
| Enumerated | November 21, 2006 |
| Last updated | December 8, 2009 |
| Authorized official | Angela Moore, Executive Owner |
| Other names | Arlington Center For Dermatology |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Dermatopathology | 207ND0900X | J4627 (TX) |
| Dermatology primary | 207N00000X | J4627 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.