Individual
ANGELITA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 E PRESIDIO ST STE B, FORT WORTH, TX 76102-6735
(817) 702-1100
Mailing address
200 W MAGNOLIA AVE STE 201, FORT WORTH, TX 76104-7657
(817) 702-2977
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139479
TX
Other
Enumeration date
02/13/2019
Last updated
06/19/2024
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