Individual
BRIDGETTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2717 PATRICIA LN APT A, GARLAND, TX 75041-2610
(469) 550-5506
Mailing address
10233 E NORTHWEST HWY UNIT 38422, DALLAS, TX 75238-4458
(214) 928-0803
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
22-3000
TX
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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