MEDICARE: MRS. ALISON CYR MOSELEY MD

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	207N00000X	Dermatology Physician	R1816	TX

General Provider Information

NPI Number	:	1124462833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALISON CYR MOSELEY MD

Provider Business Mailing Address
First Line	:	1760 ROUND ROCK AVE
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4217
Country	:	US
Telephone Number	:	512-583-3376
Fax Number	:	512-666-3243

Provider Business Practice Location Address
First Line	:	1760 ROUND ROCK AVE
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4217
Country	:	US
Telephone Number	:	512-583-3376
Fax Number	:	512-666-3243

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

Provider Enumeration Date	:	04/24/2013
Last Update Date	:	01/10/2020

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