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NPI Code Detail

MEDICARE: T L MOSIER PLLC

MEDICARE: T L MOSIER PLLC
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
1363LG0600XGerontology Nurse PractitionerAP131064TX
2363LA2200XAdult Health Nurse PractitionerAP131064TX

General Provider Information

NPI Number : 1134678485
Entity Type Code : Organization
Provider Name (Legal Business Name) : T L MOSIER PLLC
Provider Business Mailing Address
First Line : 1001 CRAIG DR
Second Line :
City : MESQUITE
State : TX
Zip : 75181-1275
Country : US
Telephone Number : 214-796-2024
Fax Number : 844-405-1299
Provider Business Practice Location Address
First Line : 1011 N COOPER ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-5517
Country : US
Telephone Number : 817-261-3121
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MONNIE C WILLIAMS
Credential :
Telephone Number : 214-796-2024
Provider Enumeration Date : 09/28/2016
Last Update Date : 10/03/2018

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