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

Nicholas Anthony Moran

Individual provider General Practice Physician · NPI 1023640745

Nicholas Anthony Moran is a General Practice Physician in Jbsa Ft Sam Houston, Texas. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020
Specialties on file
4
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Practice location Address checks out

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 916-4808
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Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 01086819A (IN)
General Practice Physician Taxonomy 208D00000X · Licence 01086819A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01086819A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023640745
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504

Other providers in Jbsa Ft Sam Houston