Individual
DR. MOSES EDWARD WILCOX SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 S 27TH ST, NEDERLAND, TX 77627-6224
(409) 727-0794
(409) 727-6030
Mailing address
1120 S 27TH ST, NEDERLAND, TX 77627-6224
(409) 727-0794
(409) 727-6030
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J7728
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035665101244-1662
—
TX
01
—
340009803
RAIL ROAD MEDICARE
TX
01
—
J7728
LICENSE
TX
Enumeration date
11/23/2005
Last updated
01/31/2024
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