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Contact Information

OLIVIA MOFFETT
324 E BELT LINE RD STE 602
DESOTO, TX75115
 Phone: 972-597-7521
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for OLIVIA MOFFETT · (Female)

NPI Number 1679319750
Status Active
Credentials
Entity Individual
Enumeration date 07/08/2024
Last updated 07/08/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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