Individual
DARYL KEITH MOTSENBOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
221 W COLORADO BLVD, PAVILLION 2, SUITE 929, DALLAS, TX 75208-2363
(214) 960-5681
(214) 947-2727
Mailing address
1113 PIN OAK DR, DENTON, TX 76209-4624
(940) 765-8987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
754742
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP130775
TX
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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