Individual
JENNIFER ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
ONE RIVERWAY, SUITE 600, HOUSTON, TX 77056-1993
(281) 381-6133
(713) 482-3259
Mailing address
ONE RIVERWAY, SUITE 600, HOUSTON, TX 77056-1993
(281) 381-6133
(713) 482-3259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03754
TX
Other
Enumeration date
04/17/2008
Last updated
09/22/2011
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