Individual
MS. DESIREE YOUNG MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3002 SAM HOUSTON DR, VICTORIA, TX 77904-2682
(361) 578-5730
(361) 578-4511
Mailing address
3002 SAM HOUSTON DR, VICTORIA, TX 77904-2682
(361) 578-5730
(361) 578-4511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
522797
TX
Other
Enumeration date
03/09/2007
Last updated
05/14/2020
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