Individual
CHRISTINE W. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
763 E US HIGHWAY 80 STE 130, FORNEY, TX 75126-8676
(972) 564-0050
Mailing address
P:.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8450
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP787549
TX
Other
Enumeration date
04/10/2019
Last updated
04/11/2019
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