Provider Demographics
NPI:1093745390
Name:MOSELEY, JAMES BRUCE (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BRUCE
Last Name:MOSELEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18220 STATE HIGHWAY 249
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4347
Mailing Address - Country:US
Mailing Address - Phone:281-737-0999
Mailing Address - Fax:281-737-0926
Practice Address - Street 1:18220 STATE HIGHWAY 249
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4347
Practice Address - Country:US
Practice Address - Phone:281-737-0999
Practice Address - Fax:281-737-0926
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2011-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG5409207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L3455OtherMEDICARE NUMBER-RBJC
TX8K662OtherBLUE CROSS BLUE SHIELD
TXP00288480OtherMEDICARE RR
TX610197300OtherUS DEPT OF LABOR
TX1093745390OtherBLUE CROSS BLUE SHIELD
TX1093745390OtherBLUE CROSS BLUE SHIELD
TX8K662OtherBLUE CROSS BLUE SHIELD