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1053341875
AUSTIN RANDALL MOODY
SAN ANTONIO, TX
NPI
1053341875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: TX G3620)
Enumeration Date
2006-07-04
Last Update Date
2023-03-07
Business Address
-- AUSTIN RANDALL MOODY MD
7400 MERTON MINTER ST NEURO SECTION, MAIL STOP 111D
SAN ANTONIO, TX 78229-4404
Phone number: 830-285-4096
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Mailing Address
-- AUSTIN RANDALL MOODY MD
218 QUINLAN STREET PMB #373
KERRVILLE, TX 78028
Phone number: 830-285-4096
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