Individual
COURTNEY COLLINS MOGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4711 SUNBURST COURT, BELLAIRE, TX 77401
(713) 430-6162
Mailing address
4711 SUNBURST CT, BELLAIRE, TX 77401-2322
(713) 430-6162
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
752692
TX
Other
Enumeration date
04/15/2013
Last updated
06/19/2016
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