| Jmmdds PLLC | |
|
4203 Medical Pkwy Austin TX 78756-3309 | |
| (512) 371-7239 | |
| Not Available |
| Full Name | Jmmdds PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4203 Medical Pkwy, Austin, Texas |
| Authorized Official Name and Position | James Michael Moossy (OWNER) |
| Authorized Official Contact | 5124595437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jmmdds PLLC 4200 N Lamar Blvd Ste. 145 Austin TX 78756-3712 Ph: (512) 459-5437 | Jmmdds PLLC 4203 Medical Pkwy Austin TX 78756-3309 Ph: (512) 371-7239 |
| NPI Number | 1205291119 |
|---|---|
| Provider Enumeration Date | 12/18/2015 |
| Last Update Date | 12/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205291119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19487 (Texas) | Primary |
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