IndividualActive
Bridgette Moore
NPI 1639807894 · Phlebology Physician · Garland, TX
Provider details
- NPI number
- 1639807894
- Entity type
- Individual
- Primary specialty
- Phlebology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 22-3000 (TX)
Mailing address
10233 E Northwest Hwy Unit 38422
Dallas, TX 75238-4458
Registry dates
- Enumerated
- 2022-08-15
- Last updated
- 2022-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.