NPI 1124488655

Ebony Moore

Practitioner Private Vehicle Houston, TX

Practice location

Address: 6714 Navidad Rd, Houston, TX 77083-2202
Phone: (832) 567-5596
Mailing address: PO Box 1043, Alief, TX 77411-1043

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1124488655
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Feb 2016
Record last updated: 25 Feb 2016

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.