Individual
KIMBERLY MOODY MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BERT BROWN ST, SAN MARCOS, TX 78666-5803
(512) 396-8500
(512) 754-3896
Mailing address
8419 MAPLE RIDGE DR, SAN ANTONIO, TX 78239-4035
(210) 928-7280
(512) 754-3896
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
128484
TX
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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