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Individual

DR. JAMES H MOSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4401 GALLERIA OAKS DR, TEXARKANA, TX 75503-4675
(903) 838-9063
(903) 838-9074
Mailing address
PO BOX 5908, TEXARKANA, TX 75505-5908
(903) 838-9063
(903) 838-9074

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03509TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113377722
AR
05
121658206
TX
01
1285681304
GROUP NPI
TX
Enumeration date
07/14/2005
Last updated
10/05/2015
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