Individual
PAULIA G MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7777
(903) 877-7825
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
(903) 877-7777
(903) 877-7825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
616314
TX
Other
Enumeration date
08/02/2012
Last updated
12/01/2014
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