Individual
TARA COLETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11109 SIGNAL WAY APT 1412, STAFFORD, TX 77477-1492
(971) 710-9194
Mailing address
11109 SIGNAL WAY APT 1412, STAFFORD, TX 77477-1492
(971) 710-9194
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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