Organization
L.R. MOSES, DO, ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUFKIN R MOSES D.O. (DOCTOR - OWNER)
(325) 235-3800
Entity
Organization
Contact information
Practice address
301 JENNY GEORGE LN, STE 6, SWEETWATER, TX 79556-7152
(325) 235-3800
(325) 235-3313
Mailing address
301 JENNY GEORGE LN, STE 6, SWEETWATER, TX 79556-7152
(325) 235-3800
(325) 235-3313
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E6855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049JL
BCBS
TX
05
—
139498301
—
TX
Enumeration date
08/29/2007
Last updated
12/14/2011
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