SearchTexas1041C0700X

Jeremiah Moen, LCSW

NPI 1578238929 · on the registry since 2021

Practice

Address
1600 Providence Dr
Waco, TX 76707
Phone
(254) 313-4500
Fax
(254) 313-4549
Organisation at this address
Heart Of Texas Community Health Center
Heart Of Texas Community Health Center, Inc
Heart Of Texas Community Health Center, Inc
Heart Of Texas Community Health Center, Inc.
Mclennan County Medical Education And Research Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
178

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-09

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