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Individual

KATHLEEN B. MOORE

Active
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Individual

KATHLEEN B. MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
5566T
TX
152WC0802X
Corneal and Contact Management Optometrist
5566T
TX
152WP0200X
Pediatric Optometrist
Primary
5566T
TX

Other

Enumeration date
03/30/2007
Last updated
09/11/2025
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