Organization
JENNIFER M MOSS
Active
Other names
Concho Valley OB-GYN
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MICHELE MOSS M.D. (SOLE PROPRIETOR)
(325) 944-9999
Entity
Organization
Contact information
Practice address
3019 GREEN MEADOW DR, SAN ANGELO, TX 76904-6975
(325) 944-9999
(325) 944-9996
Mailing address
3019 GREEN MEADOW DR, SAN ANGELO, TX 76904-6975
(325) 944-9999
(325) 944-9996
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
K7835
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508019993
NPI
TX
Enumeration date
04/22/2015
Last updated
09/29/2015
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