Search › Texas › 363A00000X
Song Moon, PA-C
NPI 1780019539 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1100 Wilford Hall Loop Bldg 4554
Lackland Afb, TX 78236 - Phone
- (210) 292-1455
- Organisation at this address
- Whasc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 69
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 171000000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-17
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