Individual
CECILIA ANN MOORE
Active
Individual
CECILIA ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80334
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
DT80334
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13785036
—
NM
05
—
193439001
—
TX
01
—
8H8762
BC/BS
TX
Enumeration date
06/19/2007
Last updated
01/30/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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