Individual
FEDERICO IVOR MOSQUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, LSA
Contact information
Practice address
17307 ELVERSON OAKS DR, TOMBALL, TX 77377-1260
(832) 493-3204
Mailing address
PO BOX 690171, HOUSTON, TX 77269-0171
(832) 493-3204
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
SA00134
TX
Other
Enumeration date
03/26/2007
Last updated
07/01/2020
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