MEDICARE: MARVIN R MOSZKOWICZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	F4968	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184612020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARVIN R MOSZKOWICZ M.D.

Provider Business Mailing Address
First Line	:	7703 FLOYD CURL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3901
Country	:	US
Telephone Number	:	210-567-1723
Fax Number	:

Provider Business Practice Location Address
First Line	:	10350 BANDERA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78250-5615
Country	:	US
Telephone Number	:	210-450-6530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	05/21/2024

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