Tony C Moffett SR.
NPI #1083190664 in San Antonio, Texas
Provider Information
- NPI Number
- 1083190664
- Entity Type
- Individual
- Name
- Tony C Moffett SR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 17, 2018
- Last Updated
- Jul 17, 2018
Practice Location
- Address
- 6047 STILL MDW
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78222-3425
- Phone
- (979) 402-7937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
| Assisted Living Facility |
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