Laura Moore, FNP-C | |
2115 S Broadway Ave, Tyler, TX 75701-4214 | |
(903) 907-7002 | |
Not Available |
Full Name | Laura Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2115 S Broadway Ave, Tyler, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134786114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP140681 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Phynet Inc | 8527038298 | 19 |
Entity Name | Phynet Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144245176 PECOS PAC ID: 8527038298 Enrollment ID: O20040729000674 |
Entity Name | Qv Urgent Care Tx Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568098887 PECOS PAC ID: 5395176267 Enrollment ID: O20200508000781 |
Mailing Address | Practice Location Address |
---|---|
Laura Moore, FNP-C Po Box 746079, Atlanta, GA 30374-6079 Ph: (312) 733-9730 | Laura Moore, FNP-C 2115 S Broadway Ave, Tyler, TX 75701-4214 Ph: (903) 907-7002 |
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