Mary Gail Moody, RN, FNP | |
113 W Main St, Kenedy, TX 78119-2717 | |
(830) 583-0627 | |
(830) 583-3729 |
Full Name | Mary Gail Moody |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 113 W Main St, Kenedy, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487697660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP106303 (Texas) | Primary |
363L00000X | Nurse Practitioner | 240005 (Texas) | Secondary |
Entity Name | Dewitt Medical District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366532608 PECOS PAC ID: 3072421395 Enrollment ID: O20031202000088 |
Mailing Address | Practice Location Address |
---|---|
Mary Gail Moody, RN, FNP 113 W Main St, Kenedy, TX 78119-2717 Ph: (830) 583-0627 | Mary Gail Moody, RN, FNP 113 W Main St, Kenedy, TX 78119-2717 Ph: (830) 583-0627 |
Mrs. Jochelle Pawelek Uriegas, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3349 S Highway 181 Ste 3, Kenedy, TX 78119 Phone: 830-583-9355 | |
Mrs. Pamela Dawn Clark, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3349 S Highway 181 Ste 3, Kenedy, TX 78119 Phone: 830-583-9355 Fax: 830-583-9335 | |
Mrs. Pamela Coy Wagner, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 899 Fm 632, Kenedy, TX 78119 Phone: 830-583-4003 |