Individual
PHYILICIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 WILSON RD APT 138, HUMBLE, TX 77338-5030
(346) 381-4001
Mailing address
831 WILSON RD APT 138, HUMBLE, TX 77338-5030
(346) 381-4001
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/31/2023
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