Lillian Maite Moya, ARNP | |
1504 Taub Loop, Houston, TX 77030-1608 | |
(713) 873-8890 | |
Not Available |
Full Name | Lillian Maite Moya |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 1504 Taub Loop, Houston, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477082964 | NPI | - | NPPES |
429699801 | Medicaid | TX | |
429699802 | Other | TX | CSHCN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9325818 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1036353 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Referral Service | 7911801410 | 2406 |
Entity Name | Physicians Referral Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953 |
Mailing Address | Practice Location Address |
---|---|
Lillian Maite Moya, ARNP Po Box 4439, Houston, TX 77210-4439 Ph: (713) 792-2991 | Lillian Maite Moya, ARNP 1504 Taub Loop, Houston, TX 77030-1608 Ph: (713) 873-8890 |
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