Individual
MS. MISTY JANE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
429 EVENING SHADOWS TRL, HOLLY LAKE RANCH, TX 75765-6346
(903) 832-9566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP145429
TX
367500000X
Certified Registered Nurse Anesthetist
RN3347012
FL
Other
Enumeration date
02/26/2013
Last updated
05/11/2021
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