Moster, Susan G

Moster, Susan G is an individual health care provider with primary practice located at 900 W Magnolia Ave Ste 100, Fort Worth TX 76104-8517. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Moster, Susan G can be contacted via phone (817) 870-7300.

Contact Information

Primary practice address
900 W Magnolia Ave Ste 100 Fort Worth TX 76104-8517
Phone: (817) 870-7300
Fax: (817) 335-9529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X H2624 Texas

Profile Details

NPI number 1558352112
LBN Legal business name Moster, Susan G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Dec 20th, 2016 - about 8 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 1558352112 NPPES
Texas MEDICAID 113878602
Texas Other 113878602
Texas Other 8GF863

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