Mosby, Sandra A

Mosby, Sandra A is an sole proprietor health care provider with primary practice located at 13851 County Road 194 , Tyler TX 75703-6621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mosby, Sandra A can be contacted via phone (210) 415-3189.

Contact Information

Primary practice address
13851 County Road 194 Tyler TX 75703-6621
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 257544 Texas

Profile Details

NPI number 1982934766
LBN Legal business name Mosby, Sandra A
Credentials RN, GNP-BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2009
Last updated Dec 30th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982934766 NPPES
Texas Other 257544 LICENSE NUMBER

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