Individual
DR. DEBORAH ANN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4012 PRESTON RD, SUITE 500, PLANO, TX 75093-7368
(972) 985-3638
(972) 867-7062
Mailing address
4012 PRESTON RD, SUITE 500, PLANO, TX 75093-7368
(972) 985-3638
(972) 867-7062
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5262TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043400062
GROUP NPI
TX
Enumeration date
11/28/2006
Last updated
12/04/2012
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