Individual
MS. CHARLOTTE DELANE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1441 S MIDLOTHIAN PKWY, MIDLOTHIAN, TX 76065-5591
(469) 800-9600
Mailing address
2121 RIVERFOREST DR, ARLINGTON, TX 76017-1636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA11485
TX
363A00000X
Physician Assistant
Primary
PA11485
TX
Other
Enumeration date
10/13/2017
Last updated
04/22/2019
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