John Moeller
John Moeller is a General Practice in Lubbock, Texas. Graduated from Louisiana State University School of Medicine in Shreveport in 1986, 40 years ago. Licensed in Texas.
- Years since qualifying
- 40
- Trained at
- Louisiana State University School of Medicine in Shreveport
- Licensed in
- TX
- In the registry since
- 2014
Practice location Address checks out
12006 Vicksburg AveLubbock, TX 79424-7745
Phone: (806) 543-6590
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Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence J9217 (TX) |
|---|
Record details
| NPI number | 1134541832 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 14, 2014 |
| Last updated in NPPES | December 9, 2019 |
| Certification date | December 9, 2019 |
| Mailing address | 12006 Vicksburg Ave, Lubbock, TX 79424-7745 |
Medicare enrollment
| Medicare specialty | GENERAL PRACTICE |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduated | 1986 (40 years in practice) |
| Accepts Medicare assignment | Not indicated |
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