Provider Demographics
NPI:1124462833
Name:MOSELEY, ALISON CYR (MD)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:CYR
Last Name:MOSELEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:CYR
Other - Last Name:PUGSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1760 ROUND ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4217
Mailing Address - Country:US
Mailing Address - Phone:512-583-3376
Mailing Address - Fax:512-666-3243
Practice Address - Street 1:1760 ROUND ROCK AVE
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4217
Practice Address - Country:US
Practice Address - Phone:512-583-3376
Practice Address - Fax:512-666-3243
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR1816207N00000X
TXBP10047131207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology