Individual
NATHAN MOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-2000
Mailing address
6109 ADIRONDACK TRL, AMARILLO, TX 79106-3403
(801) 830-6634
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
106235
TX
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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