Individual
HILLARY MOZINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 E POLK ST, BURNET, TX 78611-2136
(512) 715-6400
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12376
TX
Other
Enumeration date
12/12/2018
Last updated
09/10/2024
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