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NPI Code Detail

MEDICARE: CHRISTY MOOSA NP-C

MEDICARE: CHRISTY MOOSA NP-C
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
1363L00000XNurse PractitionerF06182603TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F06182603OTHERTXCERTIFICATION

General Provider Information

NPI Number : 1871071472
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY MOOSA NP-C
Provider Business Mailing Address
First Line : 18614 N COLONY SHORE DR
Second Line :
City : CYPRESS
State : TX
Zip : 77433-2472
Country : US
Telephone Number : 423-503-8435
Fax Number :
Provider Business Practice Location Address
First Line : 6306 FAIRBANKS N HOUSTON RD STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77040-5193
Country : US
Telephone Number : 832-831-9094
Fax Number : 832-379-7446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2018
Last Update Date : 01/21/2022

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Directions to “ CHRISTY MOOSA NP-C” Practice Location

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