Individual
EBONY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6714 NAVIDAD RD, HOUSTON, TX 77083-2202
(832) 567-5596
Mailing address
PO BOX 1043, ALIEF, TX 77411-1043
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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