ADAN MORA JR. (NPI# 1376730549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376730549 |
| Entity Type | Individual |
| Full Name | ADAN MORA JR. |
| Credential | M.D. |
| Practice Address |
3600 Gaston Ave Wadley Tower, Suite 550 Dallas TX 75246-1800 |
| Practice Telephone | 2148208669 |
| Practice Fax Number | 2148208669 |
| Mailing Telephone | 2148208669 |
| Mailing Fax Number | 2148208669 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2011-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | M1950 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
M1950 | TX | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
M1950 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 193729403 | 05 | |
| TX | BLUE CROSS | 8AA852 | 01 |
| Street Address |
3600 GASTON AVE WADLEY TOWER, SUITE 550 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215429 | Norman Slusher | Ophthalmology | 3600 Gaston Ave, Ste 964, Dallas, TX 75246-1909 | 2005-06-14 |
| 1669032561 | Julia Przybyszewski | Physician Assistant | 3600 Gaston Ave, Dallas, TX 75246-1800 | 2019-06-13 |
| 1164934865 | Stephen Daniel Krivan | Physician Assistant | 3600 Gaston Ave, Wadley Tower Suite 550, Dallas, TX 75246 | 2017-11-02 |
| 1013451608 | Mary Elise Wallace | Dietitian, Registered | 3600 Gaston Ave, Suite 656, Dallas, TX 75246-1800 | 2016-12-15 |
| 1508226382 | Jessica Osipenko | Nurse Practitioner | 3600 Gaston Ave, Wadley Tower, Suite 960, Dallas, TX 75246-1800 | 2016-03-07 |
| 1952773178 | Erin Davidson | Pharmacist | 3600 Gaston Ave, Suite 109, Dallas, TX 75246-1800 | 2015-10-27 |
| 1871960146 | Krista Heinrich | Pharmacist | 3600 Gaston Ave, Suite 109, Dallas, TX 75246-1800 | 2015-08-21 |
| 1417339177 | Jami Mckinney | Physician Assistant | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2015-06-18 |
| 1780065755 | Evan Koesler | Physician Assistant | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2015-06-15 |
| 1851772958 | Alexandra Lee Bewley | Physician Assistant | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2015-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578879318 | Edward Mims | Internal Medicine | 5359 Harry Hines Blvd, 6th Fl, Ste 600, Dallas, TX 75390 | 2010-08-30 |
| 1275847162 | Anil Singh | Internal Medicine | 221 W Colorado Blvd Ste 525, Dallas, TX 75208-2312 | 2010-08-03 |
| 1669616066 | Jose F Basora | Internal Medicine | 221 W. Colorado Blvd. Pavilion 2, Suite 525, Dallas, TX 75208 | 2009-04-29 |
| 1124213590 | Vaidehi Kaza | Internal Medicine | 5939 Harry Hines Blvs Hq1 200, Dallas, TX 75390-8550 | 2007-09-10 |
| 1457558165 | Kara N Goss | Internal Medicine | 5939 Harry Hines Blvd 6th Floor Ste 620, Dallas, TX 75390-8475 | 2007-06-27 |
| 1184836355 | Idrees Mogri | Internal Medicine | 3600 Gaston Ave Ste 960, Dallas, TX 75246-1909 | 2007-05-03 |
| 1184714768 | Todd Grazia | Internal Medicine | 3410 Worth St., Suite 250, Dallas, TX 75246 | 2006-10-13 |
| 1619984440 | Jon D Blachley | Internal Medicine | 6415 Deloache Ave, Dallas, TX 75225-2606 | 2006-08-02 |
| 1841217783 | Hemant Pratap Dand | Internal Medicine | 7021 Lyre Ln, Dallas, TX 75214-2832 | 2006-07-16 |
| 1164468450 | Adrian Christopher Lawrence | Internal Medicine | 5939 Harry Hines Blvd 6th Flr Ste 600, Dallas, TX 75390-4800 | 2006-06-22 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on ADAN MORA JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.