Individual
JONAS O MOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-4752
(254) 287-1866
(254) 618-1004
Mailing address
36065 SANTA FE AVE, CAFBHS 3RD FLOOR, FORT CAVAZOS, TX 76544
(254) 287-1866
(254) 618-1004
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
H6444
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002LP
BC/BS
TX
05
—
041249603
—
TX
01
—
162008
VALUE OPTIONS
TX
Enumeration date
08/15/2006
Last updated
06/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us