Organization
SETH MOYER SUPPORT MICROBOARD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA KENT MOYER (EXECUTIVE DIRECTOR)
(210) 635-8338
Entity
Organization
Contact information
Practice address
7665 FM 327, ELMENDORF, TX 78112-9808
(210) 635-8339
(210) 635-8339
Mailing address
7665 FM 327, ELMENDORF, TX 78112-9808
(210) 635-8339
(210) 635-8339
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315P00000X
—
TX
Enumeration date
02/08/2008
Last updated
02/08/2008
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