NPI 1033501184
Timothy Glen Moore, PEERSUPPORTSPECIAL
Practice location
- Address
- 3317 Finley Rd Suite 120, Irving, TX 75062-8722
- Phone
- (817) 360-5364
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1033501184
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Feb 2015
- Record last updated
- 26 Feb 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.