Individual
JOHN MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12006 VICKSBURG AVE, LUBBOCK, TX 79424-7745
(806) 543-6590
Mailing address
12006 VICKSBURG AVE, LUBBOCK, TX 79424-7745
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
J9217
TX
Other
Enumeration date
01/14/2014
Last updated
12/09/2019
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