Provider Demographics
NPI:1316737521
Name:MOORE, LAPLAYA
Entity type:Individual
Prefix:
First Name:LAPLAYA
Middle Name:
Last Name:MOORE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11001 S 1ST ST APT 727
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-6773
Mailing Address - Country:US
Mailing Address - Phone:512-673-8344
Mailing Address - Fax:
Practice Address - Street 1:11001 S 1ST ST APT 727
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-6773
Practice Address - Country:US
Practice Address - Phone:512-673-8344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7J6X2K7247200000X
TXNA0061048093376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No376K00000XNursing Service Related ProvidersNurse's Aide