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NPI Code Detail

MEDICARE: MR. MICAH SETH MOSELEY M.D.

MEDICARE: MR. MICAH SETH MOSELEY 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
1207P00000XEmergency Medicine Physician46701TN
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianQ3922TX
3207L00000XAnesthesiology PhysicianQ3922TX

General Provider Information

NPI Number : 1962666180
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICAH SETH MOSELEY M.D.
Provider Business Mailing Address
First Line : 4146 MARQUETTE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77005-3501
Country : US
Telephone Number : 423-737-8406
Fax Number :
Provider Business Practice Location Address
First Line : 20171 CHASEWOOD PARK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77070-1437
Country : US
Telephone Number : 832-534-5000
Fax Number : 832-534-5000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2008
Last Update Date : 06/18/2025

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