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Individual
DR. ROGER M MOCZYGEMBA
Active
Individual
DR. ROGER M MOCZYGEMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J2212
TX
207Q00000X
Family Medicine Physician
Primary
J2212
TX
2083X0100X
Occupational Medicine Physician
J2212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J2212
TX MEDICAL LICENSE
TX
Enumeration date
08/02/2005
Last updated
03/21/2019
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