Individual
LYNNMARY TECKLER MOYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4941
(469) 570-0103
Mailing address
200 W MAGNOLIA AVE STE 201, FORT WORTH, TX 76104-7657
(817) 702-2977
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1178464
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
1178464
TX
Other
Enumeration date
09/18/2025
Last updated
10/15/2025
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