Individual
DR. MARCIA MAE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5001 BISSONNET ST, SUITE 107, BELLAIRE, TX 77401-4025
(713) 664-8087
(713) 664-8078
Mailing address
5001 BISSONNET ST, SUITE 107, BELLAIRE, TX 77401-4025
(713) 664-8087
(713) 664-8078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7219TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7219TG
TEXAS OPTOMETRY LICENSE
TX
Enumeration date
07/19/2008
Last updated
06/16/2009
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