Individual
JAMES BRUCE MOSELEY
Active
Individual
JAMES BRUCE MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G5409
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093745390
BLUE CROSS BLUE SHIELD
TX
01
—
610197300
US DEPT OF LABOR
TX
01
—
8K662
BLUE CROSS BLUE SHIELD
TX
01
—
8L3455
MEDICARE NUMBER-RBJC
TX
01
—
P00288480
MEDICARE RR
TX
Enumeration date
07/03/2006
Last updated
10/21/2011
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