Individual
DR. RONALD BARRY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
101 W COOPERATIVE WAY STE 110, GEORGETOWN, TX 78626-8209
(512) 535-3777
(512) 765-9153
Mailing address
2109 MONTICELLO CT, ROUND ROCK, TX 78665-5021
(512) 535-3777
(512) 765-9153
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
555197
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
555197
TX
Other
Enumeration date
03/21/2013
Last updated
05/12/2020
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