Individual
MARY ELIZABETH MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
292 CHRYSANTHEMUM, NEW BRAUNFELS, TX 78132-5198
(210) 833-5999
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
849826
TX
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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