Search › Texas › 207Q00000X
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, PllcInferred 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