Individual
DR. KIMBERLY LYNN MEGDANIS MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(914) 806-3364
Mailing address
302 LAMONT AVE, SAN ANTONIO, TX 78209-3756
(914) 806-3364
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2010-00752
NC
207L00000X
Anesthesiology Physician
247906-1
NY
207L00000X
Anesthesiology Physician
Primary
P7815
TX
Other
Enumeration date
02/23/2010
Last updated
04/21/2020
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