Tatum Marie Moog
Tatum Marie Moog is a Family Medicine Physician in Plano, Texas. Licensed in Texas. Registered with an NPI since 2023.
- Licensed in
- TX
- In the registry since
- 2023
Practice location Address checks out
4001 W 15th St Ste 445Plano, TX 75093-5845
Phone: (972) 599-2567
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence PA19566 (TX) |
|---|
Record details
| NPI number | 1366225161 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 15, 2023 |
| Last updated in NPPES | July 20, 2026 |
| Certification date | July 20, 2026 |
| Mailing address | 4001 W 15th St Ste 445, Plano, TX 75093-5845 |
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