Individual
DANIELLE SIMIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9975 W STATE HIGHWAY 29 APT 417, LIBERTY HILL, TX 78642-0690
(512) 987-5889
Mailing address
9073 W STATE HIGHWAY 29 STE 110, LIBERTY HILL, TX 78642-2396
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
06014286
TX
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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