Individual
ISABELLA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3400
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
TX
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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