J. MOSS FOUNDATION NPI 1558530816

NPI Information

  • NPI: 1558530816
  • Provider Name: J. MOSS FOUNDATION
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Organization
  • Doing Business As: SKINNY GENE PROJECT
  • Address: 12602 TOEPPERWEIN RD
    SUITE 211
    LIVE OAK, TX
    ZIP 78233
  • Phone: (210) 656-8888

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NPI Details

J. MOSS FOUNDATION is an otolaryngology/facial plastic surgery otolaryngology in Live Oak, TX. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. J. MOSS FOUNDATION NPI is 1558530816. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Skinny Gene Project.

The provider's business location address is:

12602 TOEPPERWEIN RD
SUITE 211
LIVE OAK, TX
ZIP 78233-269
Phone: (210) 656-8888
Fax: (210) 656-2608

The provider's authorized official is Jesse Moss .
The authorized official title is Board Member/medical Director and has the following contact phone number (210) 656-8888.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 5/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryH3795TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100766ZMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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