Organization
INTERNATIONAL MEDICAL MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON P MOSES DPT (VICE PRESIDENT)
(817) 800-5630
Entity
Organization
Contact information
Practice address
2716 COUNTY ROAD 804A, BURLESON, TX 76028-1950
(817) 800-5630
(817) 447-9958
Mailing address
2716 COUNTY ROAD 804A, BURLESON, TX 76028-1950
(817) 800-5630
(817) 447-9958
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8174478426
HOME OFFICE NUMBER
TX
Enumeration date
03/29/2011
Last updated
03/29/2011
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