Individual
DUSTIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12500 SOUTH FWY, SUITE 201, BURLESON, TX 76028-7130
(817) 447-2323
(817) 447-3311
Mailing address
12500 SOUTH FWY, SUITE 201, BURLESON, TX 76028-7130
(817) 447-2323
(817) 447-3311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1264941
TX
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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