MR. Jerry Leo Moore JR.

NPI #1720501455 in Frisco, Texas

Provider Information

NPI Number
1720501455
Entity Type
Individual
Name
MR. Jerry Leo Moore JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Jul 25, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
10408 PRESTON VINEYARD DR
City
Frisco
State
Texas
ZIP Code
75035
Phone
(504) 654-7331

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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