| Robert Moore, DO | |
|
3551 Roger Brooke Dr, Mche/ Me, Jbsa Ft Sam Houston, TX 78234-4504 | |
| (210) 513-0984 | |
| Not Available |
| Full Name | Robert Moore |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 11 Years |
| Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245621036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 13107-321 (Wisconsin) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 1527 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Richardson Medical Center | Richardson, TX | Hospital |
| University Of Texas Medical Branch Galveston | Galveston, TX | Hospital |
| Medical City Denton | Denton, TX | Hospital |
| Texas Health Presbyterian Hospital Plano | Plano, TX | Hospital |
| Baylor Scott And White Medical Center Sunnyvale | Sunnyvale, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utmb Faculty Group Practice | 3375456734 | 948 |
| Texas Radiology Associates Llp | 3779578000 | 147 |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Entity Name | Texas Radiology Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016161 PECOS PAC ID: 3779578000 Enrollment ID: O20040422001470 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Moore, DO 3551 Roger Brooke Dr, Mche/ Me, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-3808 | Robert Moore, DO 3551 Roger Brooke Dr, Mche/ Me, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 513-0984 |
Dr. John L. Ritter, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Quality Services/7th Floor, Attn: Mche-zqq, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-4218 | |
Matthew Aaron Freeman, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-228-7035 | |
Jacob Willard Musiol, Radiology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-220-7709 | |
Dr. Horace Hayes Ii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-228-6238 | |
Douglas Mathis, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr Apt 7, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-4218 | |
Tylor Connor, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-220-7991 |