Susan M. Moon in San Antonio - Family Medicine
Susan M. Moon - NPI 1598771610
Susan M. Moon is a Family Medicine in San Antonio, Texas. Susan M. Moon practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan M. Moon is 1598771610. The last update date is 2014-09-05.
Susan M. Moon's current location address is 3551 Roger Brooke Dr, San Antonio, Texas. You can contact this provider via phone number 2102958239 and fax number 2102958061. The mailing address for Susan M. Moon is 3551 Roger Brooke Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M. Moon |
|---|---|
| Address | 3551 Roger Brooke Dr, San Antonio, Texas |
| Phone Number | 2102958239 |
| Fax Number | 2102958061 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1598771610 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2014-09-05 |
Provider Mailing Address Detail
| Address | 3551 Roger Brooke Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782344504 |
| Phone Number | 2102958239 |
| Fax Number | 2102958061 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M3330 |
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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 |
|---|---|---|---|
| 1598771610 | TX | NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan M. Moon by the Centers for Medicare & Medicaid Services?
The Susan M. Moon has been assigned the NPI (National Provider Identifier) 1598771610 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Susan M. Moon?
The Susan M. Moon is physically situated at 3551 Roger Brooke Dr, in the city of San Antonio, state of TX, with the postal code 782344504.
What is Susan M. Moon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan M. Moon is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Susan M. Moon receive its 1598771610 assignment from the Centers for Medicare & Medicaid Services?
The Susan M. Moon was assigned its 1598771610 by the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date was the information regarding Susan M. Moon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan M. Moon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-09-05.