Individual
MANDY KARIMI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5055 W PARK BLVD, PLANO, TX 75093-2586
(833) 774-6329
Mailing address
2701 SHERRILL PARK DR, RICHARDSON, TX 75082-3217
(817) 422-3958
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP133067
TX
Other
Enumeration date
01/05/2017
Last updated
09/29/2021
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