Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SONG JUN MOON, PA-C
Active Sole ProprietorMR. SONG JUN MOON, PA-C is a Physician Assistant healthcare provider located in LACKLAND AFB, Texas. NPI 1780019539 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LACKLAND AFB, TX
Registration Details
- NPI Number
- 1780019539
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2013 (12.912185036896 yrs)
- Last Updated
- Dec 17, 2024
- License
-
PA18550 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 WILFORD HALL LOOP BLDG 4554LACKLAND AFB, TX, 782365638Browse TX providers · Browse ZIP 78236
- Phone
- 2102921455
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Military Health Care Provider
Other Physician Assistant Providers in LACKLAND AFB, TX
| Name | Credential | NPI |
|---|---|---|
| RICHARD V RAY | PA-C | 1154310522 |
| DENNIS JAY ROBINSON | PHYSICIAN ASSISTANT | 1225016694 |
| MS. MELODY VINSON | — | 1629056064 |
| RENE MARIE MCQUEEN | PA-C | 1467430421 |
| MRS. KATHRYN ELIZABETH KASPER | PA-C | 1700081627 |
| MR. ANTONIO ORTIZ-GARCIA | PA | 1386890929 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.