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1902897267
MICHAEL MOAK
FORT SAM HOUSTON, TX
NPI
1902897267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX BP10024057)
Enumeration Date
2005-11-04
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL MOAK D.O.
3851 ROGER BROOKE DR MCHE-QD (CREDENTIALS)
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-3290
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Mailing Address
Dr. MICHAEL MOAK D.O.
3634 EAGLE CANYON DR
SAN ANTONIO, TX 78247-4460
Phone number: 210-495-0313
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