Katrina L Willie-musoma
MD | Pediatric Neurodevelopmental Disabilities | Female
Katrina L Willie-musoma, MD is a Mansfield, Texas based Pediatric doctor with medical specialization in
Pediatric Neurodevelopmental Disabilities.
Current practice location of Katrina L Willie-musoma is
2800 E Broad St Ste 100, Mansfield, Texas - 76063-6410. She can be contacted on phone at
817-557-5437 and fax number 817-539-0476.
Katrina L Willie-musoma is a sole proprietor of her business.
NPI number (Unique professional ID) for Katrina L Willie-musoma is
1003023979 which was assigned by NPPES on 17 May, 2007 and it was last updated on 28 Dec, 2022.
Katrina L Willie-musoma license number is
M9742 for Pediatrics, Neurodevelopmental Disabilities (2080P0008X) in Texas.
Katrina L Willie-musoma treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Complete Profile:
Katrina L Willie-musoma basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Neurodevelopmental Disabilities |
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| Provider Name : | Katrina L Willie-musoma |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Katrina L Willie-musoma address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2800 E Broad St Ste 100
Mansfield, TX, 76063-6410
United States |
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| Phone Number : | 817-557-5437 |
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| Fax Number : | 817-539-0476 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003023979 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 May, 2007 |
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| Last Updated On : | 28 Dec, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katrina L Willie-musoma are as mentioned. Primary taxonomy code for Katrina L Willie-musoma, MD is
2080P0008X (Pediatrics, Neurodevelopmental Disabilities).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | M9742 | TX |
| 2080P0008X | Pediatrics, Neurodevelopmental Disabilities | Yes | M9742 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Katrina L Willie-musoma such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00R86C | Other (non-Medicare) | | Medicare Group NPI |
| 084933301 | Other (non-Medicare) | TX | TMHP/Medicaid Group TPI |
| 195476005 | MEDICAID | TX | |
| TXB135922 | MEDICARE PIN | TX | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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998 WINSCOTT RD,
BENBROOK, TX, 76126-2744
United States | BENBROOK, TX | 817-249-4155 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2800 E Broad St Ste 100
Mansfield, TX, 76063-6410
United States |
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| Phone Number : | 817-557-5437 |
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| Fax Number : | 817-539-0476 |
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Business Location:
Patients can refer following map for directions to
Katrina L Willie-musoma practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.