Organization Name: | CHARLES F. MOONEY, M.D. P.A. |
NPI Number: | 1932236254 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES FREDERICK MOONEY (PRESIDENT) |
Mailing Address: | 600 E Taylor St Suite 308 Sherman |
State: | TX US |
Postal Code: | 750902881 |
Phone Number: | 9039576000 |
Fax Number: | 9039576003 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 04/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G8295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |