Individual
JASON MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
401 PRIVATE ROAD 900, HUTTO, TX 78634-3035
(512) 787-8381
Mailing address
401 PRIVATE ROAD 900, HUTTO, TX 78634-3035
(512) 787-8381
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338239
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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