Individual
AMANDA RENEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6630 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034-6272
(817) 424-3774
(817) 424-3398
Mailing address
1318 BAYTHORNE DR, LEWISVILLE, TX 75077-7691
(214) 493-2257
(817) 424-3398
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10454
TX
Other
Enumeration date
11/01/2006
Last updated
07/21/2010
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