| Spencer Moore, MD, PHD | |
|
5303 Harry Hines Blvd, 6th Floor, Dallas, TX 75390-7208 | |
| (214) 645-2020 | |
| Not Available |
| Full Name | Spencer Moore |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 5303 Harry Hines Blvd, Dallas, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235750670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R78055 (Arizona) | Secondary |
| 207W00000X | Ophthalmology | R78055 (Arizona) | Secondary |
| 207W00000X | Ophthalmology | V0816 (Texas) | Primary |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Moore, MD, PHD Po Box 845347, Dallas, TX 75284-5347 Ph: (214) 645-2020 | Spencer Moore, MD, PHD 5303 Harry Hines Blvd, 6th Floor, Dallas, TX 75390-7208 Ph: (214) 645-2020 |
Dr. Joanna Saade, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2020 | |
Dr. Julie Linden Soto, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1703 N Beckley Ave, Dallas, TX 75203 Phone: 214-987-2875 Fax: 214-946-9877 | |
Miss Vanessa Ortiz-medina, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2020 | |
Dr. Deborah I Friedman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 12740 Hillcrest Rd Ste 269, Dallas, TX 75230 Phone: 972-773-9003 Fax: 972-773-9005 | |
Faisal E Haq, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2801 Lemmon Ave Ste 400, Dallas, TX 75204 Phone: 214-754-0000 Fax: 214-379-1849 | |
Gary Pesicka, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2020 | |
Phillip Alan Tenzel, M.D. Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75284 Phone: 214-645-2020 |