Individual
JUANA L MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
11918 HIGH VALLEY DR, DALLAS, TX 75234-7738
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP131845
TX
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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