NPI | 1174940332 |
---|---|
Doing Business As | RAJEAN MOSELEY-LARUE PA-C SURGICAL SERVICES |
Entity Type | Organization |
Authorized Contact | RAJEAN RACHEL MOSELEY-LARUE Owner 817-800-7171 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX TXPA01480) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2014-03-26 |