| Patricia T. Mossburg Md, Pllc | |
|
1619 E Common St Ste 1201 New Braunfels TX 78130-3464 | |
| (830) 312-7697 | |
| (830) 312-7666 |
| Full Name | Patricia T. Mossburg Md, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1619 E Common St Ste 1201, New Braunfels, Texas |
| Authorized Official Name and Position | Patricia T. Mossburg (PRESIDENT/OWNER) |
| Authorized Official Contact | 8306604383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia T. Mossburg Md, Pllc 1619 E Common St Ste 1201 New Braunfels TX 78130-3464 Ph: (830) 312-7697 | Patricia T. Mossburg Md, Pllc 1619 E Common St Ste 1201 New Braunfels TX 78130-3464 Ph: (830) 312-7697 |
| NPI Number | 1750744736 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 10/25/2023 |
| Medicare PECOS PAC ID | 2062711062 |
|---|---|
| Medicare Enrollment ID | O20160426000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750744736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L7490 (Texas) | Primary |
| Provider Name | Patricia T Mossburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477578565 PECOS PAC ID: 5395658603 Enrollment ID: I20031111000767 |
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