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Individual

MR. PATRICK ANTHONY MOYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CST/CFA

Contact information

Practice address
7401 QUAIL CT, WATAUGA, TX 76148-1639
(817) 821-9727
(817) 581-8925
Mailing address
7401 QUAIL CT, WATAUGA, TX 76148-1639
(817) 821-9727
(817) 581-8925

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
109042
TX

Other

Enumeration date
11/26/2008
Last updated
11/26/2008
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