# MOONLIGHT MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326988536
- **Authorized official:** WILLIAM ADAMS (PRESIDENT)
- **Authorized official phone:** (817) 618-2999

## Contact information

- **Practice address:** 6115 CAMP BOWIE BLVD STE 260, FORT WORTH, TX 76116-5550
- **Practice address phone:** (817) 618-2999
- **Mailing address:** 3809 TRAILS EDGE RD, FORT WORTH, TX 76109-3428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202C00000X | Independent Medical Examiner Physician | — | NULL | Yes |
| 202C00000X | Independent Medical Examiner Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2026
- **Last updated:** 03/30/2026