Individual
DR. DEMEQUA LEGAIL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11803 SOUTH FWY, SUITE 213, BURLESON, TX 76028-7012
(817) 293-1403
Mailing address
11803 SOUTH FWY, SUITE 213, BURLESON, TX 76028-7012
(817) 293-1403
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P7314
TX
Other
Enumeration date
08/12/2012
Last updated
05/20/2014
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