Dr T ROBERT MOFFETT JR. is a male medical professional, specializing in Plastic And Reconstructive Surgery. He graduated in 1982 from Louisiana State University School Of Medicine In Shreveport.
11300 N RODNEY PARHAM RD
SUITE 210
LITTLE ROCK
AR
722124149
Tel:
| Npi | 1487655247 |
| Pac Id | 1254488927 |
| Professional Enrollment Id | I20100922001012 |
| Last Name | MOFFETT |
| First Name | T ROBERT |
| Middle Name | |
| Suffix | JR. |
| Gender | M |
| Credential | |
| Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1982 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialty 1 | GENERAL SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GENERAL SURGERY |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 11300 N RODNEY PARHAM RD |
| Line 2 Street Address | SUITE 210 |
| Marker Of Address Line 2 Suppression | |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 722124149 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 040114 |
| Hospital Affiliation Lbn 1 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| Hospital Affiliation Ccn 2 | 040007 |
| Hospital Affiliation Lbn 2 | CHI-ST VINCENT INFIRMARY |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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