Individual
MRS. MYTOIA MOSS-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROGRAM DIRECTOR
Contact information
Practice address
13206 INDIGO CREEK LN, PEARLAND, TX 77584-2548
(713) 436-7612
(713) 436-7610
Mailing address
13206 INDIGO CREEK LN, PEARLAND, TX 77584-2548
(713) 436-7612
(713) 436-7610
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
TX
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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