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NPI Code Detail

MEDICARE: KIM A. MOSLEY MD

MEDICARE: KIM A. MOSLEY 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
1208000000XPediatrics PhysicianH7083TX

General Provider Information

NPI Number : 1487613279
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM A. MOSLEY MD
Provider Business Mailing Address
First Line : 12221 MOPAC EXPRESSWAY NORTH
Second Line :
City : AUSTIN
State : TX
Zip : 78758-2483
Country : US
Telephone Number : 512-531-5437
Fax Number : 512-346-2531
Provider Business Practice Location Address
First Line : 3508 FAR WEST BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78731-3080
Country : US
Telephone Number : 512-531-5437
Fax Number : 512-346-2531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 07/08/2007

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Directions to “ KIM A. MOSLEY MD” Practice Location

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