Most Relevant Information
Provider Data
| NPI Number: | 1003356718 |
| Provider Name: | ABRAHIA MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/28/2017 |
| Last Updated: | 02/28/2017 |
Provider Practice Location
1333 W WASHINGTON ST
STEPHENVILLE
TX
764014168
Practice Location Phone/Fax
| Phone: | 2549689000 |
| Fax: |
Provider Mailing Location
595 N CHARLOTTE AVE
STEPHENVILLE
TX
764012807
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |