Antwon Moore

NPI 1417212333 · on the registry since 2012

Practice

Address: 500 N Meridian Ave
Oklahoma City, OK 73107
Phone: (405) 601-1716
Organisation at this address: Fogam Home Health, Llc
Oklahoma Clinical Dx Inc
Tranquility Counseling Services, Llc
Dynamic Therapeutic & Mental Behavioral Health Llc
Dynamic Therapeutic & Mental Behavioral Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma