Individual
LINDA W MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
Mailing address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80409
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AP705
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/08/2007
Last updated
01/17/2017
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