Shane Moore is a family nurse practitioner in Waco, TX with 6 years of experience. Shane Moore NPI is 1417426529. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7030 NEW SANGER AVE STE 204
WACO, TX
ZIP 76712-074
Phone: (254) 245-9175
Fax: (254) 213-7771
The NPI 1417426529 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/19/2018 and was last updated on 10/14/2020.