Healthcare Provider Details

I. General information

NPI: 1134678485
Provider Name (Legal Business Name): T L MOSIER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2016
Last Update Date: 10/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 N COOPER ST
ARLINGTON TX
76011-5517
US

IV. Provider business mailing address

1001 CRAIG DR
MESQUITE TX
75181-1275
US

V. Phone/Fax

Practice location:
  • Phone: 817-261-3121
  • Fax:
Mailing address:
  • Phone: 214-796-2024
  • Fax: 844-405-1299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP131064
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP131064
License Number StateTX

VIII. Authorized Official

Name: MONNIE C WILLIAMS
Title or Position: OWNER
Credential:
Phone: 214-796-2024