Individual provider · Type 1 NPI

Charlotte Leanne Moore, MD

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1356016844 Active

Practice location

7703 Floyd Curl Dr # MC7792
San Antonio, TX 78229-3901

Call (210) 567-5440 Map

Mailing address

1632 Stone St
Saginaw, MI 48602

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10084910 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356016844

Charlotte Leanne Moore, MD's National Provider Identifier is 1356016844, issued on Aug 16, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on Jan 18, 2024.