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

Tatum Marie Moog

Individual provider Family Medicine Physician · NPI 1366225161

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 445
Plano, TX 75093-5845
Phone: (972) 599-2567
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence PA19566 (TX)

Record details

NPI number1366225161
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

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