JOHNNY CLIFTON MOORE

LEWISVILLE, TX
NPI1235948456
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1184125)
Enumeration Date2025-01-02
Last Update Date2025-01-02
Business Address
JOHNNY CLIFTON MOORE
860 HEBRON PKWY STE 1101
LEWISVILLE, TX 75057-5147
Phone number: 469-444-2244
Mailing Address
JOHNNY CLIFTON MOORE
4705 CLEVES AVE
AUBREY, TX 76227-1881
Phone number: 693-200-0007
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