Individual provider · Type 1 NPI

Sara E. Moore, PNP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1407856636 Active

Practice location

1935 Medical Distric Drive, Advanced Practice Service
Dallas, TX 75235

Call (214) 456-7000 Map

Fax (214) 456-2897

Mailing address

1935 Medical District Dr, Attn: Advanced Practice Service
Dallas, TX 75235-7701

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X616483 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1407856636

Sara E. Moore, PNP's National Provider Identifier is 1407856636, issued on Jul 29, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Sep 13, 2013.