Individual provider · Type 1 NPI

Lynnmary Teckler Moyo

Women's Health Nurse Practitioner · Fort Worth, TX

NPI number 1053283341 Active

Practice location

1500 S Main St
Fort Worth, TX 76104-4941

Mailing address

200 W Magnolia Ave Ste 201
Fort Worth, TX 76104-7657

Other practice locations

  • 1201 S Main St Ste 201, Fort Worth, TX 76104-4804 · (817) 702-1100

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner 363LX0001X1178464 (TX)
Women's Health Nurse Practitioner Primary 363LW0102X1178464 (TX)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1053283341

Lynnmary Teckler Moyo's National Provider Identifier is 1053283341, issued on Sep 18, 2025. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 15, 2025.