Healthcare Provider Details

I. General information

NPI: 1164858403
Provider Name (Legal Business Name): MOSV INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2013
Last Update Date: 09/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 N MAIN ST
HALE CENTER TX
79041
US

IV. Provider business mailing address

2308 SILVERADO NORTH
MISSION TX
78573
US

V. Phone/Fax

Practice location:
  • Phone: 806-839-2541
  • Fax:
Mailing address:
  • Phone: 956-212-2379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ORALIA GARZA
Title or Position: PRESIDENT
Credential:
Phone: 956-212-2379