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NPI Code Detail

MEDICARE: TERRY L MOSLEY

MEDICARE: TERRY L MOSLEY
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
1101YA0400XAddiction (Substance Use Disorder) Counselor29994TX

General Provider Information

NPI Number : 1780391417
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY L MOSLEY
Provider Business Mailing Address
First Line : 2111 W LEDBETTER DR APT 143
Second Line :
City : DALLAS
State : TX
Zip : 75224-4728
Country : US
Telephone Number : 469-334-8064
Fax Number :
Provider Business Practice Location Address
First Line : 3330 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-4531
Country : US
Telephone Number : 214-743-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2022
Last Update Date : 01/18/2026

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Directions to “ TERRY L MOSLEY ” Practice Location

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