Laura Moore (NPI# 1134786114, PAC ID# 1052647617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134786114 |
| PAC ID by PECOS | 1052647617 |
| Professional Enrollment ID | I20190719002467 |
| Full Name | Laura Moore |
| Organization Legal Name | EAST TEXAS BORDER HEALTH CLINIC |
| Address |
805 Lindsey Dr Marshall TX 75670-5271 |
| Phone Number | 9039381146 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820038565 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450032 | GOOD SHEPHERD MEDICAL CENTER MARSHALL |
| Address | Phone | Organization |
|---|---|---|
| 805 Lindsey Dr, Marshall, TX 75670-5271 | 9039381146 | EAST TEXAS BORDER HEALTH CLINIC |
| Organization Legal Name | EAST TEXAS BORDER HEALTH CLINIC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Porscha Nicole Branch | Nurse Practitioner | East Texas Border Health Clinic | 4077 Jefferson Ave, Texarkana, AR 71854-1509 |
| Lindsey L Montgomery | Clinical Social Worker | East Texas Border Health Clinic | 618 S Grove St, Suite 100and300, Marshall, TX 75670-5294 |
| Whitney P Rosenbaum | Clinical Social Worker | East Texas Border Health Clinic | 1205 E 35th St, Genesis Primecare, Texarkana, AR 71854-2746 |
| Antonio D Ingram | Nurse Practitioner | East Texas Border Health Clinic | 1400 College Dr, Suite 204, Texarkana, TX 75503-3575 |
| Tiffany L Griffin | Nurse Practitioner | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Jay W Harvey | Family Medicine | East Texas Border Health Clinic | 811 S Washington Ave, Genesis Primecare, Marshall, TX 75670-5336 |
| Kari L Kennel | Nurse Practitioner | East Texas Border Health Clinic | 2131 S Mobberly Ave, Longview, TX 75602-3563 |
| Nita Ann Little | Nurse Practitioner | East Texas Border Health Clinic | 106 N Alley St, Genesis Primcare, Jefferson, TX 75657-1408 |
| Lloyd M Fruge | Family Medicine | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Gloria J Cunningham | Clinical Social Worker | East Texas Border Health Clinic | 1400 College Dr, Suite 204, Texarkana, TX 75503-3575 |
| Street Address |
805 LINDSEY DR |
| City | MARSHALL |
| State | TX |
| Zip | 75670-5271 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew G Glaze | Chiropractic | 701 N Washington Ave, Marshall, TX 75670-2011 | |
| James R Noble | Urology | Regional Urology LLC | 900 E End Blvd N, Suite E, Marshall, TX 75670-2131 |
| Toney L Charles Jr. | Psychologist, Clinical | 301 N Wellington St, Marshall, TX 75670-3335 | |
| Jessica E Evans | Physician Assistant | Access Family Health Pa | 300 N Alamo Blvd, Marshall, TX 75670-3451 |
| Jennifer A Benedict | Nurse Practitioner | Access Family Health Pa | 300 N Alamo Blvd, Marshall, TX 75670-3451 |
| Randall Curtis Lane | Physician Assistant | Access Family Health Pa | 300 N Alamo Blvd, Marshall, TX 75670-3451 |
| Shaun B Kelehan | Family Medicine | Access Family Health Pa | 300 N Alamo Blvd, Marshall, TX 75670-3451 |
| Shane L Kelehan | Physician Assistant | Access Family Health Pa | 300 N Alamo Blvd, Marshall, TX 75670-3451 |
| Odette Mohamed-santa | Family Medicine | Marshall Family Practice Associates Pllc | 402 S Bolivar St, Marshall, TX 75670-4110 |
| James S Logan | Family Medicine | Marshall Family Practice Associates Pllc | 402 S Bolivar St, Marshall, TX 75670-4110 |
| Find all physicians in zip 75670 | |||
| City | MARSHALL |
| Zip Code | 75670 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MARSHALL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Laura Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.