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NPI Code Detail

MEDICARE: CASSANDRA NADINE MOSCOSO PADLAN AGACNP-BC

MEDICARE:   CASSANDRA NADINE MOSCOSO PADLAN  AGACNP-BC
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
1363LA2100XAcute Care Nurse Practitioner1155608TX

General Provider Information

NPI Number : 1538929757
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA NADINE MOSCOSO PADLAN AGACNP-BC
Provider Business Mailing Address
First Line : 19338 CYPRESS GLADES CIR
Second Line :
City : KATY
State : TX
Zip : 77449-4370
Country : US
Telephone Number : 281-779-9853
Fax Number :
Provider Business Practice Location Address
First Line : 6624 FANNIN ST STE 1970
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2230
Country : US
Telephone Number : 713-797-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2024
Last Update Date : 03/22/2024

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Directions to “ CASSANDRA NADINE MOSCOSO PADLAN AGACNP-BC” Practice Location

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