Individual
MR. TIMOTHY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1900 CYPRESS CREEK RD, CEDAR PARK, TX 78613-3513
(512) 576-9797
Mailing address
1900 CYPRESS CREEK RD, CEDAR PARK, TX 78613-3513
(512) 576-9797
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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