| Ms Mildred Simon Mozara, CRNA | |
|
1301 Wonder World Dr, San Marcos, TX 78666-7533 | |
| (512) 353-8979 | |
| Not Available |
| Full Name | Ms Mildred Simon Mozara |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 1301 Wonder World Dr, San Marcos, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063450567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 053224 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP111728 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endo Sedation Llc | 4789845363 | 270 |
| Entity Name | Endo Sedation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mildred Simon Mozara, CRNA Po Box 840853, Dallas, TX 75284-0853 Ph: (972) 233-1999 | Ms Mildred Simon Mozara, CRNA 1301 Wonder World Dr, San Marcos, TX 78666-7533 Ph: (512) 353-8979 |
Rockie Lane Dugger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-353-8979 Fax: 254-200-4090 | |
Wendell M Holladay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr, Ste. 105, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Catherine Renee Carpenter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr Ste 105, Yps - Credentialing, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Michael Lynn Nick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr Ste 105, Yps Anesthesia, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Lindsey Marie Smith-dunford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666 Phone: 512-353-8161 | |
Courtney Harrell, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-753-3571 |