Individual
MS. MILDRED SIMON MOZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(512) 353-8979
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
053224
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP111728
TX
Other
Enumeration date
06/04/2006
Last updated
06/08/2020
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