# DR. RONALD BARRY MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1578805123
- **Gender:** Man
- **Credential:** FNP-BC, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 555197 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 555197 | TX | Yes |

## Other

- **Enumeration date:** 03/21/2013
- **Last updated:** 05/12/2020