Individual
DENISE L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 W FRONT ST STE 164, TYLER, TX 75702-7963
(469) 389-1309
Mailing address
719 W FRONT ST STE 164, TYLER, TX 75702-7963
(469) 389-1309
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
TX
174H00000X
Health Educator
—
TX
374J00000X
Doula
Primary
—
TX
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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