Moczygemba, Roger M

Moczygemba, Roger M is an sole proprietor health care provider with primary practice located at 1010 Nw Loop 410 Ste 100A , San Antonio TX 78213-2220. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Moczygemba, Roger M can be contacted via phone (210) 886-8031.

Contact Information

Primary practice address
1010 Nw Loop 410 Ste 100A San Antonio TX 78213-2220
Phone: (210) 886-8031
Fax: (210) 886-8059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X J2212 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J2212 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J2212 Texas

Profile Details

NPI number 1750382503
LBN Legal business name Moczygemba, Roger M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Mar 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750382503 NPPES
Texas Other J2212 TX MEDICAL LICENSE

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