Provider Demographics
NPI:1780408138
Name:MOZEE, KAMBRA ANN (CPT/CST)
Entity type:Individual
Prefix:
First Name:KAMBRA
Middle Name:ANN
Last Name:MOZEE
Suffix:
Gender:F
Credentials:CPT/CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12828 WILLOW CENTRE DR STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-3043
Mailing Address - Country:US
Mailing Address - Phone:346-509-6676
Mailing Address - Fax:832-318-6109
Practice Address - Street 1:12828 WILLOW CENTRE DR STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-3043
Practice Address - Country:US
Practice Address - Phone:346-509-6676
Practice Address - Fax:832-318-6109
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK6D9S6W2246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy