Individual
MR. JERRY LEO MOORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10408 PRESTON VINEYARD DR, FRISCO, TX 75035
(504) 654-7331
Mailing address
10408 PRESTON VINEYARD DR, FRISCO, TX 75035-8027
(504) 654-7331
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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