Individual
MR. BRUCE CARLTON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 791-1414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
565442
TX
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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