| A Randall Moody Ii Md Pa | |
|
5788 Eckhert Rd Frank M. Tejeda Va Outpatient Clinic, C&p Department San Antonio TX 78240-3900 | |
| (830) 285-4096 | |
| (830) 896-3310 |
| Full Name | A Randall Moody Ii Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5788 Eckhert Rd, San Antonio, Texas |
| Authorized Official Name and Position | Austin Randall Moody (MD) |
| Authorized Official Contact | 8302854096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Randall Moody Ii Md Pa 5788 Eckhert Rd Frank M. Tejeda Va Outpatient Clinic, C& P Department San Antonio TX 78240-3900 Ph: (830) 285-4096 | A Randall Moody Ii Md Pa 5788 Eckhert Rd Frank M. Tejeda Va Outpatient Clinic, C&p Department San Antonio TX 78240-3900 Ph: (830) 285-4096 |
| NPI Number | 1740219682 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 07/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740219682 | NPI | - | NPPES |
| 178696401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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