Individual
MR. DARYL RAY MOCZYGEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, CPNP
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE #401, AUSTIN, TX 78723-3077
(512) 628-1900
(512) 628-1901
Mailing address
1301 BARBARA JORDAN BLVD, SUITE #200, AUSTIN, TX 78723-3077
(512) 628-1900
(512) 628-1901
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
619203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195759905
—
TX
Enumeration date
01/25/2007
Last updated
04/08/2013
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