Tony C Moffett Sr.
Tony C Moffett Sr. is an Intellectual Disabilities Intermediate Care Facility in San Antonio, Texas. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
6047 Still MdwSan Antonio, TX 78222-3425
Phone: (979) 402-7937
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Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|---|
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X |
Record details
| NPI number | 1083190664 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2018 |
| Last updated in NPPES | July 17, 2018 |
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