Individual
TAMARA ANNELL MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 658-1511
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-4939
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2057
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2057
STATE BOARD OF PODIATRIC MEDICAL EXAMINERS
TX
Enumeration date
05/14/2013
Last updated
07/15/2022
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