| Mary L Moore, PA C | |
|
105 E Hackberry St, Pearsall, TX 78061-4412 | |
| (830) 334-3670 | |
| (830) 334-3672 |
| Full Name | Mary L Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 105 E Hackberry St, Pearsall, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770514614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA02513 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Frio Regional Hospital | Pearsall, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Frio Hospital Association | 4981599693 | 9 |
| Entity Name | Oscar Garza, M.d.,pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447467030 PECOS PAC ID: 7911074109 Enrollment ID: O20080930000742 |
| Entity Name | Sound Inpatient Physicians of Texas I, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831424563 PECOS PAC ID: 8729133640 Enrollment ID: O20090828000300 |
| Entity Name | Hni Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366735169 PECOS PAC ID: 6406028810 Enrollment ID: O20111031000750 |
| Entity Name | Frio Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215574959 PECOS PAC ID: 4981599693 Enrollment ID: O20200318000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary L Moore, PA C 151 Encino Drive, Pearsall, TX 78061 Ph: (830) 334-3670 | Mary L Moore, PA C 105 E Hackberry St, Pearsall, TX 78061-4412 Ph: (830) 334-3670 |
Melissa Daley Selva, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 566 Veteran Dr, Pearsall, TX 78061 Phone: 210-231-4500 |
Mrs. Suzie Amelia Garza, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 566 Veterans Drive, Pearsall, TX 78061 Phone: 210-231-4701 |
Sneha Mathew, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 404 E San Marcos St, Pearsall, TX 78061 Phone: 830-334-3336 |