Micheal Allan Moisant in Wichita Falls - Family Medicine
Micheal Allan Moisant - NPI 1063463800
Micheal Allan Moisant is a Family Medicine in Wichita Falls, Texas. Micheal Allan Moisant practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Micheal Allan Moisant is 1063463800. The last update date is 2019-11-08.
Micheal Allan Moisant's current location address is 4412 Kell West Blvd, Wichita Falls, Texas. You can contact this provider via phone number 9406960011 and fax number 9406962248. The mailing address for Micheal Allan Moisant is 4412 Kell West Blvd, Wichita Falls, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Micheal Allan Moisant |
|---|---|
| Address | 4412 Kell West Blvd, Wichita Falls, Texas |
| Phone Number | 9406960011 |
| Fax Number | 9406962248 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1063463800 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2019-11-08 |
Provider Mailing Address Detail
| Address | 4412 Kell West Blvd |
|---|---|
| City | Wichita Falls |
| State | Texas (TX) |
| Post Code | 7630947190 |
| Phone Number | 9406960011 |
| Fax Number | 9406962248 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | K7585 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 146573401 | TX | -- | |
| 8F8440 | TX | BCBS OF TEXAS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Micheal Allan Moisant?
The Micheal Allan Moisant has been issued the NPI (National Provider Identifier) 1063463800 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Micheal Allan Moisant is located?
The Micheal Allan Moisant is situated at the following address: 4412 Kell West Blvd, Wichita Falls, TX, 7630947190.
What is the Micheal Allan Moisant's specialty and taxonomy code?
The Micheal Allan Moisant's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Micheal Allan Moisant receive the assignment of its 1063463800 from the Centers for Medicare & Medicaid Services?
The Micheal Allan Moisant was issued its 1063463800 by the Centers for Medicare & Medicaid Services on 2006-05-15.
As of what date were the details related to Micheal Allan Moisant most recently updated or revised?
The information pertaining to Micheal Allan Moisant, including its address, specialty, and other relevant details, was last updated or revised on 2019-11-08.