Individual
DR. GERHARD MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 N HIGHWAY 118, DIAGNOSTIC RADIOLOGY DEPARTMENT, ALPINE, TX 79830-2002
(432) 837-0207
(432) 837-0275
Mailing address
2600 N HIGHWAY 118, DIAGNOSTIC RADIOLOGY DEPARTMENT, ALPINE, TX 79830-2002
(432) 837-0207
(432) 837-0275
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K9132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145999202
—
TX
01
—
8B0690
BCBS PROVIDER #
TX
Enumeration date
08/23/2006
Last updated
06/06/2014
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