MEDICARE: MS. KIERA SHENAE MOORE FNP-C

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	AP133965	TX

General Provider Information

NPI Number	:	1740717651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIERA SHENAE MOORE FNP-C

Provider Business Mailing Address
First Line	:	2200 POST OAK BLVD STE 1000
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-4716
Country	:	US
Telephone Number	:	832-990-0549
Fax Number	:	832-321-2990

Provider Business Practice Location Address
First Line	:	2200 POST OAK BLVD STE 1000
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-4716
Country	:	US
Telephone Number	:	832-990-0549
Fax Number	:	832-321-2990

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

Provider Enumeration Date	:	05/23/2017
Last Update Date	:	04/15/2025

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