Individual
KASEY LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
16840 BUCCANEER LN STE 100, HOUSTON, TX 77058-2507
(281) 333-5114
(832) 240-4740
Mailing address
16840 BUCCANEER LN STE 100, HOUSTON, TX 77058-2507
(281) 333-5114
(832) 240-4740
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
179626
TX
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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