Individual
MRS. ELIZABETH ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATTENDANT CARE PROVI
Contact information
Practice address
233 STONE CIRCLE DRIVE, GORDONVILLE, TX 76245
(214) 857-0617
Mailing address
233 STONE CIRCLE DRIVE,, GORDONVILLE, TX 76245
(903) 523-5030
(903) 523-4822
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
TX
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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