Individual
BRENDAN TYLER MOORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1717 N INTERSTATE 35 STE 200, ROUND ROCK, TX 78664-2901
(512) 964-6992
Mailing address
1717 N INTERSTATE 35 STE 200, ROUND ROCK, TX 78664-2901
(512) 964-6992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13040
TX
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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