Madeline Moore, PAC

NPI #1225567399 in Grapevine, Texas

Provider Information

NPI Number: 1225567399
Entity Type: Individual
Name: Madeline Moore, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 12, 2017
Last Updated: Apr 27, 2020

Practice Location

Address: 2535 IRA E WOODS AVE
City: Grapevine
State: Texas
ZIP Code: 76051
Phone: (817) 481-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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