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
Phone: (210) 415-3189
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1982934766 | NPPES |
| Texas | Other | 257544 | LICENSE NUMBER |
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