Individual
ANGELA MOCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4545 HERITAGE TRACE PKWY STE 1500, FORT WORTH, TX 76244-8938
(682) 683-2301
(813) 736-5446
Mailing address
5208 WOODGLEN LN, FORT WORTH, TX 76126-3065
(913) 426-6320
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12999
TX
Other
Enumeration date
08/29/2019
Last updated
01/04/2024
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