A Randall Moody Ii Md Pa

LBN: A Randall Moody Ii Md Pa
A Randall Moody Ii Md Pa is an health care organization with primary practice located at 5788 Eckhert Rd Frank M. Tejeda Va Outpatient Clinic, C&P Department, San Antonio TX 78240-3900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. A Randall Moody Ii Md Pa can be contacted via phone (830) 285-4096, or through Moody, Austin Randall via phone (830) 285-4096.

Contact Information

Primary practice address
5788 Eckhert Rd Frank M. Tejeda Va Outpatient Clinic, C&P Department San Antonio TX 78240-3900
Phone: (830) 285-4096
Fax: (830) 896-3310
Website:
Map and Directions
Authorized official contact:
Name: Moody, Austin Randall Doctor of Medicine (MD)
Phone: (830) 285-4096

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1740219682
LBN Legal business name A Randall Moody Ii Md Pa
DBA Doing business as
Authorized official Moody, Austin Randall Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Jul 28th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740219682 NPPES
Texas MEDICAID 178696401

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