Individual
MS. ELIZABETH DIANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-4901
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-4901
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP125414
TX
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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