# J. MOSS FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skinny Gene Project
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558530816
- **Authorized official:** DR. JESSE MOSS JR. M.D. (BOARD MEMBER/MEDICAL DIRECTOR)
- **Authorized official phone:** (210) 656-8888

## Contact information

- **Practice address:** 12602 TOEPPERWEIN RD, SUITE 211, LIVE OAK, TX 78233-3269
- **Practice address phone:** (210) 656-8888
- **Practice address fax:** (210) 656-2608
- **Mailing address:** 10620 TREENA ST, SUITE 230, SAN DIEGO, CA 92131-1140
- **Mailing address phone:** (619) 793-2010
- **Mailing address fax:** (858) 408-1891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | H3795 | TX | Yes |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 05/13/2016