Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dyese Moody

Individual provider General Practice Physician · NPI 1770341992

Dyese Moody is a General Practice Physician in Jbsa Ft Sam Houston, Texas. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024

Practice location Address checks out

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 292-3410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0101288286 (VA)

Record details

NPI number1770341992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 12, 2024
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504

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