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Jennifer M Moss
Medical Specialty Clinic/Center in San Angelo, Texas
NPI 1164819603

Jennifer M Moss is a Medical Specialty Clinic/Center based in San Angelo, TX and is specialized in Medical Specialty. Jennifer M Moss practices in San Angelo, TX. The NPI Number for Jennifer M Moss is 1164819603 and holds a License No. K7835 (Texas).

The current practice location address for Jennifer M Moss is 3019 Green Meadow Dr, San Angelo, TX and can be reached out via phone at 325-944-9999 and via fax at 325-944-9996.

Location: 3019 Green Meadow Dr, San Angelo, TX, 76904-6975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164819603
Provider Name
Jennifer M Moss
Credential
Provider Entity Type
Organization
Address
3019 Green Meadow Dr, San Angelo, TX, 76904-6975
Phone Number
325-944-9999
Fax Number
325-944-9996
Provider Enumeration Date
04/22/2015
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1508019993 01 TX NPI
institution
Provider Business Practice Location Address Details
Address
3019 Green Meadow Dr
City
San Angelo
State
Texas
Zip
76904-6975
Phone Number
325-944-9999
Fax Number
325-944-9996
person
Provider Business Mailing Address Details
Address
3019 Green Meadow Dr
City
San Angelo
State
Texas
Zip
76904-6975
Phone Number
325-944-9999
Fax Number
325-944-9996
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
K7835 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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