Provider Demographics
NPI:1760066831
Name:MOMENT, JOY
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:MOMENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E LAMAR BLVD STE 113E
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-4401
Mailing Address - Country:US
Mailing Address - Phone:800-938-1021
Mailing Address - Fax:
Practice Address - Street 1:1601 E LAMAR BLVD STE 113E
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-4401
Practice Address - Country:US
Practice Address - Phone:800-938-1021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker