Individual provider · Type 1 NPI

Corey Moss, MD

Student in an Organized Health Care Education/Training Program · Shreveport, LA

NPI number 1265324545 Active

Practice location

1501 Kings Highway
Shreveport, LA 71103

Call (318) 626-0434 Map

Mailing address

1501 Kings Hwy
Shreveport, LA 71103-4228

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265324545

Corey Moss, MD's National Provider Identifier is 1265324545, issued on Jul 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 19, 2025.