Individual
MISTY MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3406 COLLEGE ST, BEAUMONT, TX 77701-4612
(409) 813-2332
(409) 813-2710
Mailing address
3406 COLLEGE ST, BEAUMONT, TX 77701-4612
(409) 813-2332
(409) 813-2710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
675149
TX
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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