Individual
CHRISTE MOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
6675 STACEY DR, BELTON, TX 76513-9459
(254) 939-7252
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
233947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1706988-01
—
TX
01
—
84426U
BLUE SHIELD
TX
Enumeration date
04/04/2006
Last updated
05/20/2010
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