Individual
MRS. JESSICA M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
CLEMENTS UNIVERSITY HOSPITAL 6201 HARRY HINES BLVD, DALLAS, TX 75390-6413
(214) 288-6465
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12964
TX
Other
Enumeration date
08/01/2019
Last updated
01/03/2020
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