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Individual
PHILLIP NATHAN MOSER
Active
Individual
PHILLIP NATHAN MOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
225703
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119974706
—
TX
01
—
225703
TEXAS WORKER'S COMP
—
01
—
82516U
BLUE CROSS/ BLUE SHIELD
TX
01
—
CK3380
RAILROAD MEDICARE
—
01
—
R82571
CHAMPUS
—
Enumeration date
08/08/2006
Last updated
07/08/2007
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