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Individual

MS. ANTONIE MOLTZ MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
1110 N SARAH DEWITT DR, GONZALES, TX 78629-3311
(830) 672-8502
Mailing address
1110 N SARAH DEWITT DR, GONZALES, TX 78629-3311
(830) 672-3845
(830) 672-4746

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01809
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA01809
STATE OF TEXAS PA LICENSE
TX
Enumeration date
05/02/2008
Last updated
03/07/2023
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