Individual
MR. ALBERT MOORE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19511 SHADY COVE LN, HUMBLE, TX 77346-2311
(713) 818-6301
Mailing address
19511 SHADY COVE LN, HUMBLE, TX 77346-2311
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
40958222
TX
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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