MEDICARE: DR. CHARLES ROBERT MOSES 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	207V00000X	Obstetrics & Gynecology Physician	G1487	TX

General Provider Information

NPI Number	:	1831192038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES ROBERT MOSES MD

Provider Business Mailing Address
First Line	:	19418 BELLA FLOR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78256-4404
Country	:	US
Telephone Number	:	409-963-5932
Fax Number	:	888-628-2791

Provider Business Practice Location Address
First Line	:	19418 BELLA FLOR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78256-4404
Country	:	US
Telephone Number	:	409-963-5932
Fax Number	:	888-628-2791

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	04/18/2022

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Directions to “ DR. CHARLES ROBERT MOSES MD” Practice Location

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