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Organization
MOONLIGHT MEDICAL INC
Active
Organization
MOONLIGHT MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ADAMS (PRESIDENT)
(817) 618-2999
Entity
Organization
Contact information
Practice address
6115 CAMP BOWIE BLVD STE 260, FORT WORTH, TX 76116-5550
(817) 618-2999
Mailing address
3809 TRAILS EDGE RD, FORT WORTH, TX 76109-3428
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
—
NULL
202C00000X
Independent Medical Examiner Physician
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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