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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SONG JUN MOON, PA-C

Active Sole Proprietor

MR. 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 4554
LACKLAND AFB, TX, 782365638
Browse 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.