MEDICARE: ELIZABETH MORA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP128311	TX

General Provider Information

NPI Number	:	1326429226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MORA

Provider Business Mailing Address
First Line	:	4480 BRYANT IRVIN RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-1064
Country	:	US
Telephone Number	:	361-222-9020
Fax Number	:

Provider Business Practice Location Address
First Line	:	4480 BRYANT IRVIN RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-1064
Country	:	US
Telephone Number	:	361-222-9020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2015
Last Update Date	:	02/17/2024

Similar Medicare Providers

1295752335 — SAMS EAST INC
Practice Location Address:

4400 BRYANT IRVIN RD
FORT WORTH, TX
76132-1064

Practice Phone: 817-989-1931
Practice Fax:

1184716607 — SAM'S CLUB OPTICAL
Practice Location Address:

4400 BRYANT IRVIN RD
FORT WORTH, TX
76132-1064

Practice Phone: 817-989-1992
Practice Fax:

1063864239 — MEGHAN LYNN LIEBUM NP
Practice Location Address:

4480 BRYANT IRVIN RD
FORT WORTH, TX
76132-1064

Practice Phone: 682-212-9160
Practice Fax:

1164925574 — ASHLEY LOWE MEDFORD NP
Practice Location Address:

4480 BRYANT IRVIN RD
FORT WORTH, TX
76132-1064

Practice Phone: 682-212-9160
Practice Fax:

1679174015 — FREDDY KEITH BALES
Practice Location Address:

4400 BRYANT IRVIN RD
FORT WORTH, TX
76132-1064

Practice Phone: 817-989-1931
Practice Fax: 817-989-1937

1073115523 — BRENT ZANE BERGEN
Practice Location Address:

4400 BRYANT IRVIN RD
FORT WORTH, TX
76132-1064

Practice Phone: 817-989-1931
Practice Fax:

Directions to “ ELIZABETH MORA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.