Mia Moon, M.D/

NPI 1568417509 · on the registry since 2006

Practice

Address: 2500 West Fwy
Fort Worth, TX 76102
Phone: (817) 882-8700
Organisation at this address: Ft Network Llc
Legacy Heart Care Inc
Legacy Heart Care, Llc
Concentra Health Services, Inc.
Legacy Heart Care Of Fort Worth Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Also registered as: 207Q00000X
Licence states on file: CA, TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-04-17

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