| Mr Song Jun Moon, PA-C | |
|
1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236-5638 | |
| (210) 292-1455 | |
| Not Available |
| Full Name | Mr Song Jun Moon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780019539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA18550 (Texas) | Primary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Song Jun Moon, PA-C 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 Ph: (210) 292-1455 | Mr Song Jun Moon, PA-C 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236-5638 Ph: (210) 292-1455 |
Paul David Zimmerman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Lackland Afb, TX 78236 Phone: 210-292-7447 | |
William Marcus Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Lackland Afb, TX 78236 Phone: 210-292-7840 | |
Richard V Ray, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Whasc, 2200 Bergquist Dr, Lackland Afb, TX 78236 Phone: 770-914-5546 | |
Dennis Jay Robinson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Berquist Drive, Suite 1 Attn: Credentials (cmc), Lackland Afb, TX 78236 Phone: 830-719-1943 | |
Rene Marie Mcqueen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Lackland Afb, TX 78236 Phone: 210-292-7964 | |
Dominique Blancett Mercado, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236 Phone: 210-292-2003 | |
Ms. Melody Vinson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Berquist Drive, Suite 1 Attn: Credentials ( Cmc), Lackland Afb, TX 78236 Phone: 210-292-0299 |