Individual
BRAEDEN MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 E HIGHWAY 114, 120, TROPHY CLUB, TX 76262-5304
(817) 491-3403
(817) 491-3308
Mailing address
1900 LONG PRAIRIE RD, 104, FLOWER MOUND, TX 75022-4217
(972) 724-2400
(972) 724-2495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1257809
TX
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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