Mooty, Carrie Leigh

Mooty, Carrie Leigh is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mooty, Carrie Leigh can be contacted via phone (210) 358-4000.

Contact Information

Primary practice address
4502 Medical Dr San Antonio TX 78229-4402
Phone: (210) 358-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP114573 Texas

Profile Details

NPI number 1689634586
LBN Legal business name Mooty, Carrie Leigh
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jan 31st, 2024 - about 11 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689634586 NPPES
Arkansas Other 5Y808 BCBS
Arkansas Other P02057009 BCBS
Arkansas MEDICAID 160925001 BCBS
Arkansas MEDICAID 1689634586 BCBS
Arkansas Other 8JM981 BCBS
Arkansas MEDICAID 195775503 BCBS
Arkansas Other 667523 BCBS
Arkansas Other P00315041 BCBS

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