Individual
DR. ANTOINETTE MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 EVERETT STE 400, KYLE, TX 78640-6147
(512) 295-1333
(512) 406-7327
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
U5465
TX
Other
Enumeration date
04/04/2018
Last updated
01/17/2025
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