Kenneth Joseph Moise JR.
Gynecologist - Maternal & Fetal Medicine
4910 Mueller Blvd Suite 103
Austin
, Texas 78723
Kenneth Joseph Moise JR.
Gynecologist - Maternal & Fetal Medicine
4910 Mueller Blvd Suite 103
Austin
, Texas 78723
(512) 324-7256
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Kenneth Joseph Moise JR.
- 4910 Mueller Blvd Suite 103
- Austin, TX
- Zip : 78723
- Phone : (512) 324-7256
Second Address
- Kenneth Joseph Moise JR.
- 4910 Mueller Blvd Suite 103
- Austin, TX
- Zip : 78723
- Phone : (512) 324-7256
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G9624 | TX |
National Provider Identifier
| NPI | 1154339547 |
|---|---|
| Provider Name | Kenneth Joseph Moise JR. |
| First Address | Austin, TX 78723 |
| Second Address | Austin, TX 78723 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 20/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 133880817 | (05) | TX |
| D74296 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.