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Individual

DR. KYLE RICHARD MORAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
6400 S CAGE BLVD, SUITE G, PHARR, TX 78577-6870
(956) 783-7111
(956) 783-7109
Mailing address
6400 S CAGE BLVD, SUITE G, PHARR, TX 78577-6870
(956) 783-7111
(956) 783-7109

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1187343
TX

Other

Enumeration date
06/03/2009
Last updated
06/03/2009
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