Individual
DOREEN A MOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1643 LANCASTER DR STE 204, GRAPEVINE, TX 76051-3501
(817) 310-3775
Mailing address
PO BOX 200282, DALLAS, TX 75320-0282
(972) 616-4000
(972) 294-3343
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J5186
TX
207VG0400X
Gynecology Physician
J5186
TX
207VM0101X
Maternal & Fetal Medicine Physician
J5186
TX
207VX0000X
Obstetrics Physician
J5186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083CX
BCBS
TX
05
—
096896801
—
TX
05
—
096896804
—
TX
01
—
8CK620
BCBS
TX
Enumeration date
06/27/2005
Last updated
06/16/2025
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