Organization
WITS SPECIALTY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY MOODY NP (OWNER/ NP)
(210) 322-0191
Entity
Organization
Contact information
Practice address
9000 TESORO DR STE 103, SAN ANTONIO, TX 78217-6100
(210) 322-0191
Mailing address
9422 COPPERWAY, CONVERSE, TX 78109-2063
(210) 322-0191
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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