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Individual
JAMES DILLON MOORE
Active
Individual
JAMES DILLON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
710553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336508207
—
TX
01
—
8KB821
BCBSTX
TX
01
—
PENDING
BCBSTX - WHS PS
TX
05
—
PENDING
—
TX
Enumeration date
09/22/2008
Last updated
10/31/2019
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