Individual
MRS. SHERRY MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4140 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-5310
(817) 741-7353
Mailing address
4140 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-5310
(817) 741-7501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
822957
TX
Other
Enumeration date
07/16/2018
Last updated
11/06/2019
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