Organization
WYLIE MOODY, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYLIE MOODY MD (DERMATOLOGIST/OWNER)
(832) 330-9162
Entity
Organization
Contact information
Practice address
6404 NURSERY DR STE 201, VICTORIA, TX 77904-1688
(832) 330-9162
Mailing address
6404 NURSERY DR STE 201, VICTORIA, TX 77904-1688
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
03/12/2026
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