Individual
CONSTANCE MARIE MOBLEY
Active
Individual
CONSTANCE MARIE MOBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
A115469
CA
204F00000X
Transplant Surgery Physician
Primary
P9403
TX
208600000X
Surgery Physician
A115469
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1154690
—
CA
05
—
340202601
—
TX
05
—
340202602
—
TX
01
—
8EJ545
BCBS
TX
01
—
P01507451
RR MEDICARE
TX
Enumeration date
03/29/2007
Last updated
01/16/2024
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