Mary L Moore, PA C

NPI #1770514614 in Pearsall, Texas

Provider Information

NPI Number
1770514614
Entity Type
Individual
Name
Mary L Moore, PA C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA C
Enumeration Date
Jul 6, 2006
Last Updated
Mar 24, 2011

Practice Location

Address
105 E HACKBERRY ST
State
Texas
ZIP Code
78061-4412
Phone
(830) 334-3670

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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