Individual
ALEXANDRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3501 MILLS AVE, AUSTIN, TX 78731-6391
(512) 324-2036
Mailing address
3501 MILLS AVE, AUSTIN, TX 78731-6309
(512) 324-2036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
U2577
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2020
Last updated
05/12/2023
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