Individual
JENNIFER D MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N9750
TX
207RN0300X
Nephrology Physician
Primary
N9750
TX
Other
Enumeration date
06/03/2008
Last updated
06/09/2022
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