Individual
ELIZABETH O MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5001
(915) 742-9722
Mailing address
4300 LOMA CLARA CT, EL PASO, TX 79934-3806
(915) 822-2520
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
141774
TX
Other
Enumeration date
11/06/2006
Last updated
08/28/2015
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