Active NPI
L.R. Moses, DO, Association
- Surgery Physician
- Sweetwater, TX
National Provider Identifier
1801080262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E6855
- Legal business name
- L.R. MOSES, DO, ASSOCIATION
- Practice address
- 301 Jenny George LN
Ste 6
Sweetwater, TX 79556-7152 - Phone
- (325) 235-3800
- Fax
- (325) 235-3313
- NPI assigned
- Aug 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lufkin R Moses, D.O.
- Title
- Doctor - Owner
- Phone
- (325) 235-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E6855 | TX | Primary |
Addresses
Primary practice location
301 Jenny George LN
Ste 6
Sweetwater, TX 79556-7152
Mailing address
301 Jenny George LN
Ste 6
Sweetwater, TX 79556-7152
Phone (325) 235-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139498301 | Medicaid | TX | |
| 0049JL | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
200 E Arizona Ave
Ste 5
Sweetwater, TX 79556
Phone (325) 235-3800
202 E Arizona Ave
Ste 5
Sweetwater, TX 79556
Phone (325) 235-3800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Sweetwater, TX
- NPI 1821059171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323820800000",
"number": "1801080262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 JENNY GEORGE LN",
"address_2": "STE 6",
"city": "SWEETWATER",
"state": "TX",
"postal_code": "795567152",
"telephone_number": "325-235-3800",
"fax_number": "325-235-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 JENNY GEORGE LN",
"address_2": "STE 6",
"city": "SWEETWATER",
"state": "TX",
"postal_code": "795567152",
"telephone_number": "325-235-3800",
"fax_number": "325-235-3313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L.R. MOSES, DO, ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-29",
"last_updated": "2011-12-14",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "LUFKIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DOCTOR - OWNER",
"authorized_official_telephone_number": "325-235-3800",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TX",
"license": "E6855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139498301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0049JL",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sweetwater, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.