Individual provider · Type 1 NPI

Kevin Edward Moore, PA-C

Surgical Physician Assistant · Houston, TX

NPI number 1992293500 Active

Practice location

6621 Fannin St
Houston, TX 77030-2358

Mailing address

12055 Sabo Rd Apt 1217
Houston, TX 77089-6291

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1992293500

Kevin Edward Moore, PA-C's National Provider Identifier is 1992293500, issued on Apr 30, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Apr 30, 2018.