Provider Demographics
NPI:1518164375
Name:MOSELEY, MARTHE JEAN (PHD, RN)
Entity Type:Individual
Prefix:DR
First Name:MARTHE
Middle Name:JEAN
Last Name:MOSELEY
Suffix:
Gender:F
Credentials:PHD, RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6310 WELLES GLENN CIR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-4903
Mailing Address - Country:US
Mailing Address - Phone:210-641-7032
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:SOUTH TEXAS VETERANS HEALTH CARE SYSTEM
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:210-617-5102
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX545736364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine