Individual
ADAM MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C, CEN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
10318 WESTFIELD PL, SAN ANTONIO, TX 78240-3580
(832) 512-3062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
740186
TX
363LF0000X
Family Nurse Practitioner
Primary
1113533
TX
363LF0000X
Family Nurse Practitioner
AP70058974
WA
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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