Individual
TINA MOOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12890 HILLCREST RD, SUITE 201, DALLAS, TX 75230-1504
(972) 386-6310
(972) 404-9150
Mailing address
6302 CLEAR CREEK DR, GARLAND, TX 75044-3660
(972) 386-6310
(972) 404-9150
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1062511
TX
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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