Moody, Austin Randall

Moody, Austin Randall is an individual health care provider with primary practice located at 7400 Merton Minter St Neuro Section, Mail Stop 111D, San Antonio TX 78229-4404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Moody, Austin Randall can be contacted via phone (830) 285-4096.

Contact Information

Primary practice address
7400 Merton Minter St Neuro Section, Mail Stop 111D San Antonio TX 78229-4404
Phone: (830) 285-4096
Fax: (830) 896-3310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G3620 Texas

Profile Details

NPI number 1053341875
LBN Legal business name Moody, Austin Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053341875 NPPES
Texas MEDICAID 034299003

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