Individual
DR. DAN SAGE MOSELY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-0808
Mailing address
18715 CANOE BRK, SAN ANTONIO, TX 78258-1636
(210) 888-1559
(210) 888-1559
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9701504
NC
207P00000X
Emergency Medicine Physician
Primary
N9751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286272401
—
TX
Enumeration date
12/22/2005
Last updated
01/18/2012
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