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Tatum Marie Moog
Student in an Organized Health Care Education/Training Program in Midland, Texas
NPI 1366225161

Tatum Marie Moog is a Student in an Organized Health Care Education/Training Program based in Midland, TX. Tatum Marie Moog practices in Midland, TX. The NPI Number for Tatum Marie Moog is 1366225161 and holds a License No. (Texas).

The current practice location address for Tatum Marie Moog is 3600 N Garfield St, Midland, TX and can be reached out via phone at 972-369-6213.

Location: 3600 N Garfield St, Midland, TX, 79705-6329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366225161
Provider Name
Tatum Marie Moog
Credential
Provider Entity Type
Individual
Gender
Female
Address
3600 N Garfield St, Midland, TX, 79705-6329
Phone Number
972-369-6213
Fax Number
Provider Enumeration Date
08/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3600 N Garfield St
City
Midland
State
Texas
Zip
79705-6329
Phone Number
972-369-6213
Fax Number
person
Provider Business Mailing Address Details
Address
3600 N Garfield St
City
Midland
State
Texas
Zip
79705-6329
Phone Number
972-369-6213
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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