Organization
TODD A. MOFFATT, MD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A MOFFATT MD (PHYSICIAN/OWNER)
(254) 744-7881
Entity
Organization
Contact information
Practice address
1000 W HIGHWAY 6, SUITE 400, WACO, TX 76712-3786
(254) 744-7881
Mailing address
PO BOX 21925, WACO, TX 76702-1925
(254) 744-7881
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J2894
TX
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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