Individual
IFFAT MOHAMMADI MOINUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
5007 S MCCOLL RD, EDINBURG, TX 78539-8080
(956) 587-0555
(956) 587-0550
Mailing address
5007 S MCCOLL RD, EDINBURG, TX 78539-8080
(956) 587-0555
(956) 587-0550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06319
TX
363AM0700X
Medical Physician Assistant
PA06319
TX
Other
Enumeration date
07/20/2009
Last updated
09/22/2015
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