Individual
JENNIFER MOZEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1726 CHADWICK CT STE 200, HURST, TX 76054-3318
(682) 334-3929
(817) 280-9962
Mailing address
1726 CHADWICK CT STE 200, HURST, TX 76054-3318
(682) 334-3929
(817) 280-9962
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99416
TEXAS DEPARTMENT OF LICENSE AND REGULATION
TX
Enumeration date
08/06/2020
Last updated
08/06/2020
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