Moe, Roderick Donald

Moe, Roderick Donald is an individual health care provider with primary practice located at 16723 Huebner Rd , San Antonio TX 78248-2342. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Moe, Roderick Donald can be contacted via phone (210) 733-4368.

Contact Information

Primary practice address
16723 Huebner Rd San Antonio TX 78248-2342
Phone: (210) 733-4368
Fax: (210) 402-3417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X F9837 Texas
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X F9837 Texas

Profile Details

NPI number 1982636742
LBN Legal business name Moe, Roderick Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982636742 NPPES
Texas MEDICAID 095065103
Texas MEDICAID 126432701
Texas Other F9837
Texas Other 20082224
Texas MEDICAID 126432706

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