Nicole Moore is one of 1,896 nurse practitioners practicing in Dallas, Texas .
Nicole Moore practices with Healthtexas Provider Network.
Registry record (NPPES)
NPI
1376010272
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
3500 Gaston Ave
Enumerated
Oct 29, 2018
Record last updated
Oct 29, 2018
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
621 N Hall St Suite 120Dallas , TX 75226
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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