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General NPI Number Information
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NPI Number | 1033947817
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Entity Type | Organization
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Legal Business Name | CENTEX HEALTH, PLLC
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 708 E ELMS RD # 10
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City | KILLEEN
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State | TX
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Zip | 76542-6032
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Country | US
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Telephone | 254-296-8834
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Fax | 833-314-3444
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Provider Business Mailing Address
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Address Line | 708 E ELMS RD # 10
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City | KILLEEN
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State | TX
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Zip | 76542-6032
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Country | US
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Telephone | 254-296-8834
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | YOHANTIS MOORE
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Credential | APRN, FNP-C
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Telephone | 254-296-8834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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