Individual
BRIAN ARCHIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4413 61ST ST, LUBBOCK, TX 79414-4520
(806) 535-0219
Mailing address
4413 61ST ST, LUBBOCK, TX 79414-4520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1086916
TX
225100000X
Physical Therapist
PTH6806
AL
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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