Individual
SANDRA A MOSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, GNP-BS
Contact information
Practice address
13851 COUNTY ROAD 194, TYLER, TX 75703-6621
(210) 415-3189
Mailing address
13851 COUNTY ROAD 194, TYLER, TX 75703-6621
(210) 415-3189
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
257544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
257544
LICENSE NUMBER
TX
Enumeration date
12/30/2009
Last updated
12/30/2009
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