Individual
JANA CAMILLE MOPERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2421 BRIDGETON LN, BEDFORD, TX 76021-7961
(469) 419-2850
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-2850
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
608198
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
AP128335
TX
Other
Enumeration date
02/26/2015
Last updated
10/26/2015
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