Individual provider · Type 1 NPI

Justin Moore

Student in an Organized Health Care Education/Training Program · San Marcos, TX

NPI number 1578347019 Active

Practice location

601 University Dr
San Marcos, TX 78666-4684

Mailing address

902 Autumn Oaks Dr
Houston, TX 77079-3603

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1578347019

Justin Moore's National Provider Identifier is 1578347019, issued on Aug 24, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Marcos, TX. The record was last updated on Aug 24, 2023.