person
Dr. Kelley E Moon, MD
Clinic/Center in Nacogdoches, Texas
NPI 1255366035

Kelley E Moon is a Clinic/Center based in Nacogdoches, TX. Kelley E Moon practices in Nacogdoches, TX and has the professional credentials of MD. The NPI Number for Kelley E Moon is 1255366035 and holds a License No. L4067 (Texas).

The current practice location address for Kelley E Moon is 1320 N University Dr, Nacogdoches, TX and can be reached out via phone at 936-564-7206 and via fax at 936-559-9701.

Location: 1320 N University Dr, Nacogdoches, TX, 75961-4269
person
Provider Profile Details
NPI Number
1255366035
Provider Name
Kelley E Moon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1320 N University Dr, Nacogdoches, TX, 75961-4269
Phone Number
936-564-7206
Fax Number
936-559-9701
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1320 N University Dr
City
State
Zip
75961-4269
Phone Number
936-564-7206
Fax Number
936-559-9701
person
Provider Business Mailing Address Details
Address
1320 N University Dr
City
State
Zip
75961-4269
Phone Number
936-564-7206
Fax Number
936-559-9701
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
L4067 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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