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Organization
DR.JONAS MOEN P.A.
Active
Organization
DR.JONAS MOEN P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONAS O MOEN M.D. (CEO)
(254) 776-0001
Entity
Organization
Contact information
Practice address
1000 W HWY 6 SUITE 100, WACO, TX 76712
(254) 776-0026
Mailing address
1000 W HWY 6 SUITE 100, WACO, TX 76712
(254) 776-0026
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/16/2008
Last updated
02/28/2008
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