Individual
JUSTIN X MUSSOMELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 UNIVERSITY BLVD BLDG A, ROUND ROCK, TX 78665
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
Q0320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
935025
—
AZ
Enumeration date
01/27/2006
Last updated
01/26/2022
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