Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Philip Alan Moore, MD

Individual provider Surgery Physician · NPI 1053346817

Dr. Philip Alan Moore, MD is a General Surgery in Grapevine, Texas. Graduated from University of Texas Southwestern Medical School at Dallas in 1978, 48 years ago. Practices with Center for Vein Restoration TX2 LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
48
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 Lancaster Dr Ste 103
Grapevine, TX 76051-3579
Phone: (817) 488-5170
Fax: (817) 488-6270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence F1835 (TX)

Record details

NPI number1053346817
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESMay 13, 2015
Mailing address1600 Lancaster Dr, Suite 103, Grapevine, TX 76051-3579

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 1978 (48 years in practice)
Group practice Center For Vein Restoration Tx2 Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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