Individual
JOHN MOJICA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2240 GULF FWY S, LEAGUE CITY, TX 77573-5143
(832) 505-1234
(281) 282-0760
Mailing address
PO BOX 650859 DEPT 710, DALLAS, TX 75265-3537
(409) 772-0620
(281) 282-0760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063513240
TRICARE SOUTH
TX
Enumeration date
09/26/2006
Last updated
05/19/2022
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