Jesse Moss Jr Mdpa

NPI #1770390338 in Live Oak, Texas

Provider Information

NPI Number: 1770390338
Entity Type: Organization
Organization Name: Jesse Moss Jr Mdpa
Primary Specialty: Otolaryngology
Enumeration Date: Dec 16, 2024
Last Updated: Dec 16, 2024

Practice Location

Address: 12602 TOEPPERWEIN RD STE 211
City: Live Oak
State: Texas
ZIP Code: 78233-3271
Phone: (210) 656-8888

Authorized Official

Name: JESSE MOSS JR., MD
Title: OWNER
Phone: (210) 656-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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