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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY GLEN MOORE, PEER SUPPORT SPECIAL

Active Sole Proprietor

TIMOTHY GLEN MOORE, PEER SUPPORT SPECIAL is a Peer Specialist healthcare provider located in IRVING, Texas. NPI 1033501184 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · IRVING, TX

Registration Details

NPI Number
1033501184
Provider Type
Individual
Gender
Male
NPI Issued
Feb 26, 2015 (11.488030247657 yrs)
Last Updated
Feb 26, 2015
Sole Proprietor
Yes

Practice Information

Address
3317 FINLEY RD
SUITE 120
IRVING, TX, 750628722
Browse TX providers · Browse ZIP 75062
Phone
8173605364
Primary Specialty
Peer Specialist
175T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.