Individual
HILERY DIANE MOORE MULHOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5828 MINNOW DR, FORT WORTH, TX 76179-7560
(602) 616-9196
Mailing address
5828 MINNOW DR, FORT WORTH, TX 76179-7560
(602) 616-9196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163125
CO
163W00000X
Registered Nurse
841282
CA
163W00000X
Registered Nurse
RN131410
AZ
163WP2201X
Ambulatory Care Registered Nurse
Primary
727626
TX
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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