Organization
EMERALD BLUE HEALTH CARE SERVICES,INC.
Active
Other names
Mytoia Moss
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYTOIA C MOSS TX HEALTH CARE SERVI (PROGRAM DIRECTOR)
(713) 436-7498
Entity
Organization
Contact information
Practice address
13206 INDIGO CREEK LN, PEARLAND, TX 77584-2548
(713) 436-7498
(713) 436-7610
Mailing address
13206 INDIGO CREEK LN, PEARLAND, TX 77584-2548
(713) 436-7498
(713) 436-7610
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710074299
HEALTH CARE SERVICES
TX
Enumeration date
03/07/2007
Last updated
08/22/2020
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