Individual
COLLIN MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 S 31ST ST, MS-11-AG062, TEMPLE, TX 76508
(254) 724-0884
Mailing address
2401 S 31ST ST, MS-11-AG062, TEMPLE, TX 76508
(254) 724-0884
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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