JOE MARSHALL MOODY M.D. NPI 1689686396

NPI Information

NPI: 1689686396
Provider Name: JOE MARSHALL MOODY, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
4647 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 592-0400
Get Directions

Joe Marshall Moody, M.D. is a cardiovascular disease internal medicine in San Antonio, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Joe Marshall Moody, M.D. NPI is 1689686396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4647 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229-403
Phone: (210) 592-0400

The enumeration date for this NPI number is 8/12/2006 and was last updated on 5/6/2009.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	E2746	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300073988	MEDICARE PIN	TEXAS
2	8L10759	MEDICARE PIN	TEXAS
3	124455001	MEDICAID	TEXAS
4	124455005	OTHER	TEXAS	CIDC
5	884799	MEDICARE PIN	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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