| Organization Name: | MOORMAN & ASSOCIATES PC |
| NPI Number: | 1780678417 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID MALLGRAVE (ADMINISTRATOR) |
| Mailing Address: | 3515 Fannin St Suite 101 Beaumont |
| State: | TX US |
| Postal Code: | 777013815 |
| Phone Number: | 4098350033 |
| Fax Number: | 4098350213 |
| NPI Enumeration Date: | 09/08/2005 |
| NPI Last Update Date: | 04/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 620030000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |