Individual
DEANNE MONTGOMERY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
2113 CRESCENT CORAL DR, LEAGUE CITY, TX 77573-6676
(281) 682-5045
Mailing address
2113 CRESCENT CORAL DR, LEAGUE CITY, TX 77573-6676
(281) 682-5045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
712357
TX
367A00000X
Advanced Practice Midwife
Primary
1059746
TX
Other
Enumeration date
06/16/2020
Last updated
05/09/2022
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