MARK GREGORY MOORE

ATHENS, TX
NPI1144210188
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  548063)
Enumeration Date2005-10-21
Last Update Date2010-04-06
Business Address
-- MARK GREGORY MOORE CRNA
2000 S PALESTINE ST
ATHENS, TX 75751-5610
Phone number: 903-677-1000
Mailing Address
-- MARK GREGORY MOORE CRNA
PO BOX 2127
ATHENS, TX 75751-7127
Phone number: 903-677-1000
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