| Moses E Wilcox Sr Md Pa | |
|
1120 S 27th St Nederland TX 77627-6224 | |
| (409) 727-0794 | |
| (409) 727-6030 |
| Full Name | Moses E Wilcox Sr Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1120 S 27th St, Nederland, Texas |
| Authorized Official Name and Position | Moses Edward Wilcox (CEO) |
| Authorized Official Contact | 4097270794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moses E Wilcox Sr Md Pa 1120 S 27th St Nederland TX 77627-6224 Ph: (409) 727-0794 | Moses E Wilcox Sr Md Pa 1120 S 27th St Nederland TX 77627-6224 Ph: (409) 727-0794 |
| NPI Number | 1205071602 |
|---|---|
| Provider Enumeration Date | 12/13/2008 |
| Last Update Date | 01/31/2024 |
| Medicare PECOS PAC ID | 9032245634 |
|---|---|
| Medicare Enrollment ID | O20100408000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205071602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | J7728 (Texas) | Primary |
| Provider Name | Moses Edward Wilcox |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033192901 PECOS PAC ID: 3870629413 Enrollment ID: I20100408000302 |
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