Individual
JOHN C MOSCONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 W 38TH ST STE 400, AUSTIN, TX 78705-1141
(512) 206-3600
(512) 206-3604
Mailing address
900 W 38TH ST STE 400, AUSTIN, TX 78705-1141
(512) 206-3600
(512) 206-3604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0053762
CO
207R00000X
Internal Medicine Physician
MD.205305
LA
207RC0000X
Cardiovascular Disease Physician
2019-00863
NC
207RI0011X
Interventional Cardiology Physician
Primary
S6547
TX
208M00000X
Hospitalist Physician
DR.0053762
CO
208M00000X
Hospitalist Physician
MD.205305
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2108221
—
LA
05
—
60058234
—
CO
01
—
P01348203
RAIL ROAD MEDICARE
CO
Enumeration date
03/30/2010
Last updated
07/13/2020
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