Moriah Munoz
Individual provider Active NPI Occupational Therapy Assistant · Fairfield, TX
NPI 1083175814 · NPPES record last updated Mar 26, 2019
Key facts
- NPI
- 1083175814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 214324 (TX)
- Practice address
- 420 Moody St
Fairfield, TX 75840-3036 - Phone
- (903) 389-1236
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214324 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 214324 | TX | Yes |
Addresses
Primary practice location
420 Moody St
Fairfield, TX 75840-3036
Mailing address
108 FCR 430
Buffalo, TX 75831-6842
Other providers in Fairfield, TX
- Medrec, Inc
- Kayla Yvonne Mitchell
- Brent William Moore
- Christine Holt Moore
- John Daniel Morgan
- Matthew Noble
- Vance J Oglesbee
- Ignacio William Perez
- Katie Randall
- Cheryl F Roberts
All providers in Fairfield, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.