NPI 1639807894

Bridgette Moore

Practitioner Phlebology Physician Garland, TX

Practice location

Address: 2717 Patricia Ln APT a, Garland, TX 75041-2610
Phone: (469) 550-5506
Mailing address: 10233 E Northwest Hwy Unit 38422, Dallas, TX 75238-4458

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 22-3000 (TX)

Other Phlebology providers in Texas →

Registry record

NPI: 1639807894
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2022
Record last updated: 15 Aug 2022

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.