Moczygemba, Daryl Ray
Moczygemba, Daryl Ray is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Suite #401, Austin TX 78723-3077. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Moczygemba, Daryl Ray can be contacted via phone (512) 628-1900.Contact Information
Primary practice address
1301 Barbara Jordan Blvd Suite #401
Austin TX 78723-3077
Phone: (512) 628-1900
Fax: (512) 628-1901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 619203 | Texas |
Profile Details
| NPI number | 1780730770 |
|---|---|
| LBN Legal business name | Moczygemba, Daryl Ray |
| Credentials | MSN, RN, CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Apr 8th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780730770 | NPPES |
| Texas | MEDICAID | 195759905 |
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