MOA MEDICAL MANAGEMENT LLC NPI 1083773709

NPI Information

NPI: 1083773709
Provider Name: MOA MEDICAL MANAGEMENT, LLC
Classification: Radiologic Technologist - 2471M1202X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging

Address:
5920 FOREST PARK RD
STE. 560
DALLAS, TX
ZIP 75218
Phone: (214) 350-0708
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MOA MEDICAL MANAGEMENT, LLC is a magnetic resonance imaging radiologic technologist in Dallas, TX. MOA MEDICAL MANAGEMENT, LLC NPI is 1083773709. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5920 FOREST PARK RD
STE. 560
DALLAS, TX
ZIP 75218
Phone: (214) 350-0708
Fax: (214) 350-0712

The provider's authorized official is Grady Lawson Hobbs .
The authorized official title is Vp Operations and has the following contact phone number (469) 682-6743.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2471M1202X	Radiologic Technologist	Magnetic Resonance Imaging			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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