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Organization
JESSE MOSS JR MDPA
Active
Organization
JESSE MOSS JR MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE MOSS JR. MD (OWNER)
(210) 656-8888
Entity
Organization
Contact information
Practice address
12602 TOEPPERWEIN RD STE 211, LIVE OAK, TX 78233-3271
(210) 656-8888
Mailing address
12602 TOEPPERWEIN RD STE 211, LIVE OAK, TX 78233-3271
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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