Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 759313 | TX |
NPI | 1043577463 |
---|---|
Provider Name | Ms. Moira Jo Pyle |
First Address | Temple, TX 76502-4069 |
Second Address | Temple, TX 76502-4069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2012 |
Last Update Date | 23/04/2012 |