Individual
JOSEPH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
713 E ANDERSON ST, WEATHERFORD, TX 76086-5705
(817) 598-9328
(817) 599-4902
Mailing address
907 EUREKA ST STE B, WEATHERFORD, TX 76086-5880
(817) 598-9328
(817) 599-4902
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP133273
TX
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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