Individual
CAROLYN MARIE MOYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1125 S HENDERSON ST, FORT WORTH, TX 76104-4464
(817) 915-9803
(817) 918-7877
Mailing address
1125 S HENDERSON ST, FORT WORTH, TX 76104-4464
(817) 915-9803
(817) 918-7877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
256976
NY
207V00000X
Obstetrics & Gynecology Physician
4192
WV
207V00000X
Obstetrics & Gynecology Physician
Primary
N6513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215717401
—
TX
Enumeration date
10/14/2007
Last updated
11/15/2023
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