SONG MOON, PA-C

PA-C

Physician Assistant

NPI: 1780019539IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA18550(TX)

Military Health Care Provider

Military Health Care Provider

Code: 171000000X

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2014

Contact & Hours

Address: 1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Phone: (210) 292-1455

Location

Practice Location

1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX

Quick Facts

NPI: 1780019539
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 12

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