Individual
DR. JASON TABIAS MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-2361
Mailing address
2017 NEW BRAUNFELS, FORNEY, TX 75126-8198
(214) 841-3017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
N8326
TX
2085R0204X
Vascular & Interventional Radiology Physician
N8326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286702003
—
TX
01
—
P01701269
RAILROAD
TX
Enumeration date
04/12/2008
Last updated
02/24/2025
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