Individual
AQUILLA B MOOSANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1204 SHANNON OAKS TRL STE 307, AUSTIN, TX 78746-7303
(512) 585-9621
Mailing address
13750 SAN PEDRO AVE, SUITE 560, SAN ANTONIO, TX 78232-4375
(210) 561-3100
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
15958528
TX
208000000X
Pediatrics Physician
Primary
J9223
TX
Other
Enumeration date
08/30/2006
Last updated
07/07/2022
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