Provider Demographics
NPI:1326155219
Name:MOSLEY-NUNNERY, ANGELA YVETTE (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:YVETTE
Last Name:MOSLEY-NUNNERY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:22710 PROFESSIONAL DR.
Mailing Address - Street 2:STE#202
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339
Mailing Address - Country:US
Mailing Address - Phone:281-312-8521
Mailing Address - Fax:281-359-7971
Practice Address - Street 1:22710 PROFESSIONAL DR.
Practice Address - Street 2:STE#202
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:281-359-7969
Practice Address - Fax:281-359-7971
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2010-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH 0661207QA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE 39012Medicare UPIN