Individual
CARLA LIZETTE MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-PC
Contact information
Practice address
4659 COHEN AVE, EL PASO, TX 79924-4429
(915) 577-0444
(915) 577-0509
Mailing address
181 GUS RALLIS, EL PASO, TX 79932
(915) 242-0339
(915) 242-0343
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
760961
TX
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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