PHYLLIS ANN MOORE

FORT WORTH, TX
NPI1235407248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  254099)
Enumeration Date2011-12-05
Last Update Date2011-12-05
Business Address
-- PHYLLIS ANN MOORE FNP
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0387
Mailing Address
-- PHYLLIS ANN MOORE FNP
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0387