Hogan-Moody, Lisabeth D

Hogan-Moody, Lisabeth D is an individual health care provider with primary practice located at 2800 E Broad St Suite 124, Mansfield TX 76063-6409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hogan-Moody, Lisabeth D can be contacted via phone (817) 539-0959.

Contact Information

Primary practice address
2800 E Broad St Suite 124 Mansfield TX 76063-6409
Phone: (817) 539-0959
Fax: (817) 539-0480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02623 Texas

Profile Details

NPI number 1396714242
LBN Legal business name Hogan-Moody, Lisabeth D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 28th, 2014 - about 12 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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