Provider Demographics
NPI:1124158928
Name:MOSER, DAVID W (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:W
Last Name:MOSER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1301 BARBARA JORDAN BLVD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-3077
Mailing Address - Country:US
Mailing Address - Phone:512-628-1880
Mailing Address - Fax:512-628-1881
Practice Address - Street 1:1301 BARBARA JORDAN BLVD
Practice Address - Street 2:SUITE #200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-3077
Practice Address - Country:US
Practice Address - Phone:512-628-1880
Practice Address - Fax:512-628-1881
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2013-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP17912080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX296547701Medicaid
TXTXB152218Medicare PIN