Individual
MS. CAROL P MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1101 S MAIN ST, SUITE 1200, FORT WORTH, TX 76104-4802
(817) 321-4707
Mailing address
1101 S MAIN ST, SUITE 1200, FORT WORTH, TX 76104
(817) 321-4707
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
557273
TX
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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