Individual
MICHAEL MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 FAWN MEADOW CIRCLE, SAN ANTONIO, TX 78240
(210) 696-9744
Mailing address
8203 VALLECITO RUN, SAN ANTONIO, TX 78250-2213
(325) 647-7863
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2166815
TX
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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