Individual
LILLIAN MAITE MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-8890
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9325818
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
1036353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429699801
—
TX
01
—
429699802
CSHCN
TX
Enumeration date
06/08/2017
Last updated
11/04/2024
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