Organization
PSYCH DIMENSIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MOORE FNP (PRESIDENT)
(512) 535-3777
Entity
Organization
Contact information
Practice address
918 S INTERSTATE 35, GEORGETOWN, TX 78628-4127
(512) 535-3777
(512) 765-9153
Mailing address
38 CHAMPIONS RUN, SAN ANTONIO, TX 78258-7720
(512) 535-3777
(512) 765-9153
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/09/2015
Last updated
01/26/2026
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