| Dr.jonas Moen P.a. | |
|
1000 W Hwy 6 Suite 100 Waco TX 76712 | |
| (254) 776-0026 | |
| Not Available |
| Full Name | Dr.jonas Moen P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1000 W Hwy 6 Suite 100, Waco, Texas |
| Authorized Official Name and Position | Jonas O Moen (CEO) |
| Authorized Official Contact | 2547760001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.jonas Moen P.a. 1000 W Hwy 6 Suite 100 Waco TX 76712 Ph: (254) 776-0026 | Dr.jonas Moen P.a. 1000 W Hwy 6 Suite 100 Waco TX 76712 Ph: (254) 776-0026 |
| NPI Number | 1033395306 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 02/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033395306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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