Individual provider · Type 1 NPI
Mary L. Moore, PA C
Medical Physician Assistant · Pearsall, TX
NPI number
1770514614
Active
Practice location
105 E Hackberry St
Pearsall, TX 78061-4412
Fax (830) 334-3672
Mailing address
151 Encino Drive
Pearsall, TX 78061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA02513 (TX) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Pearsall
About NPI 1770514614
Mary L. Moore, PA C's National Provider Identifier is 1770514614, issued on Jul 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pearsall, TX. The record was last updated on Mar 24, 2011.