SHANE MOORE

WACO, TX
NPI1417426529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP139172)
Enumeration Date2018-11-19
Last Update Date2020-10-14
Business Address
SHANE MOORE
7030 NEW SANGER AVE STE 204
WACO, TX 76712-4074
Phone number: 254-245-9175
Mailing Address
SHANE MOORE
PO BOX 11538
KILLEEN, TX 76547-1538
Phone number: 254-245-9177
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