Individual
MACY MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
6020 W PARKER RD, PLANO, TX 75093-8171
(972) 403-2700
Mailing address
510 SADDLEBROOK DR, LUCAS, TX 75002-7695
(501) 283-5505
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
100288680
TX
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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