Most Relevant Information
Provider Data
| NPI Number: | 1003561226 |
| Provider Name: | RENELL MOORE SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 111824 |
Most Important Dates
| Enumeration Date: | 02/16/2022 |
| Last Updated: | 02/16/2022 |
Provider Practice Location
12000 OAK GROVE RD S
BURLESON
TX
760286685
Practice Location Phone/Fax
| Phone: | 8172453800 |
| Fax: |
Provider Mailing Location
1160 SW WILSHIRE BLVD
BURLESON
TX
760285719
Provider Mailing Phone/Fax
| Phone: | 8172451000 |
| Fax: |