Individual
MOSES J KENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2245 MARSH LN, CARROLLTON, TX 75006
(972) 416-1764
(972) 416-5890
Mailing address
PO BOX 678459, DALLAS, TX 75267-8459
(972) 416-1764
(972) 416-5890
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M1181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200554801
—
TX
01
—
8X6400
BCBS
TX
Enumeration date
08/01/2006
Last updated
06/12/2023
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