Individual
SARA E. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1935 MEDICAL DISTRIC DRIVE, ADVANCED PRACTICE SERVICE, DALLAS, TX 75235
(214) 456-7000
(214) 456-2897
Mailing address
1935 MEDICAL DISTRICT DR, ATTN: ADVANCED PRACTICE SERVICE, DALLAS, TX 75235-7701
(214) 456-7000
(214) 456-2897
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
616483
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163892601
—
TX
Enumeration date
07/29/2005
Last updated
09/13/2013
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