Individual
CORY VASTINA MOODY RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(318) 268-8278
Mailing address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(318) 268-8278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1221555
TX
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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