Doctor Name: | DR. DEMEQUA LEGAIL MOORE |
NPI Number: | 1861749624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | P7314 |
Business Practice Address: | 11803 South Fwy Suite 213 Burleson, TX - 760287012 |
Business Phone Number: | 8172931403 |
Business Fax Number: | |
Mailing Address: | 11803 South Fwy, Suite 213 BURLESON |
State: | TX |
Postal Code: | 760287012 |
Phone Number: | 8172931403 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2012 |
NPI Last Update Date: | 05/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | P7314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |