Organization
EMERALD BLUE HEALTH CARE SERVICES
Active
Other names
Mytoia Moss
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYTOIA MOSS (OWNER/PROGRAM DIRECTOR)
(832) 876-1360
Entity
Organization
Contact information
Practice address
822 GARDEN TRACE LN, HOUSTON, TX 77018-6342
(832) 876-1360
(713) 426-3603
Mailing address
822 GARDEN TRACE LN, HOUSTON, TX 77018-6342
(832) 876-1360
(713) 426-3603
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
TX
Other
Enumeration date
09/09/2005
Last updated
08/22/2020
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