Provider Demographics
NPI:1104694934
Name:ESPINOSA, PATRICIA MOUSSA (APRN, AGACNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MOUSSA
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:APRN, AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9330 LYNDON B JOHNSON FWY STE 800
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4310
Mailing Address - Country:US
Mailing Address - Phone:972-792-5700
Mailing Address - Fax:
Practice Address - Street 1:12720 HILLCREST RD STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2089
Practice Address - Country:US
Practice Address - Phone:214-814-1550
Practice Address - Fax:214-814-1350
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1138162363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner