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Individual

DR. SANDRA VELIA MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5106 RAVENSTHORPE DR, PARKER, TX 75002-5496
(214) 923-1705
Mailing address
PO BOX 368, WYLIE, TX 75098-0368
(214) 923-1705
(972) 442-9958

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F1836
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135460705
TX
Enumeration date
06/06/2006
Last updated
01/22/2024
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