Individual provider Active NPI

Patricia Teresa Mossburg, M.D.

  • Family Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1477578565
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L7490 Issued in TX
Practice address
1619 E Common St Ste 1201
New Braunfels, TX 78130-3464
Phone
(830) 312-7697
Fax
(830) 312-7666
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L7490 TX Primary

Addresses

Primary practice location

1619 E Common St Ste 1201
New Braunfels, TX 78130-3464

Mailing address

1619 E Common St Ste 1201
New Braunfels, TX 78130-3464
Phone (830) 312-7697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1477578565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 E COMMON ST STE 1201",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303464",
            "telephone_number": "830-312-7697",
            "fax_number": "830-312-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 E COMMON ST STE 1201",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303464",
            "telephone_number": "830-312-7697",
            "fax_number": "830-312-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSBURG",
        "first_name": "PATRICIA",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.