Antonia Moore, LCSW

NPI 1750500856 · on the registry since 2007 · sole proprietor

Practice

Address: 2616 S Loop W
Ste 602
Houston, TX 77054
Phone: (713) 349-9796
Fax: (713) 349-9796
Organisation at this address: Prise, Inc.
L & C Medical
Lotanna Ejiofor
Fannin St Imaging
South Loop Mri Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-12-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas