Individual
ATHENA MOSS THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2007 AVENUE G, ROSENBERG, TX 77471-2537
(832) 532-9209
(281) 719-9381
Mailing address
2007 AVENUE G, ROSENBERG, TX 77471-2537
(832) 532-9209
(281) 719-9381
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
TX
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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