Dr.jonas Moen P.a.

NPI #1033395306 in Waco, Texas

Provider Information

NPI Number: 1033395306
Entity Type: Organization
Organization Name: Dr.jonas Moen P.a.
Primary Specialty: Psychiatry & Neurology - Child & Adolescent Psychiatry
Enumeration Date: Jan 16, 2008
Last Updated: Feb 28, 2008

Practice Location

Address: 1000 W HWY 6 SUITE 100
City: Waco
State: Texas
ZIP Code: 76712
Phone: (254) 776-0026

Authorized Official

Name: DR. JONAS O MOEN, M.D.
Title: CEO
Phone: (254) 776-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry	2084P0804X	Primary

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