SearchTexas207Q00000X

Kelley Moon, M.D

NPI 1255366035 · on the registry since 2006 · sole proprietor

Practice

Address
1320 N University Dr Ste B
Nacogdoches, TX 75961
Phone
(936) 559-9225
Fax
(936) 559-9701
Organisation at this address
Jeremy Smith Md Pa
Charles W Page Md Pa
East Texas Urocenter
Rachel B. Head, Md, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas