Moa Medical Management, LLC

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

Legal business name

MOA MEDICAL MANAGEMENT, LLC

Practice address

5920 Forest Park Rd
Ste. 560
Dallas, TX 75218

Phone

(214) 350-0708

Fax

(214) 350-0712

NPI assigned

Dec 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Grady Lawson Hobbs

Title

VP Operations

Phone

(469) 682-6743

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083773709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108809",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018809",
            "telephone_number": "972-479-1115",
            "fax_number": "972-479-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 FOREST PARK RD",
            "address_2": "STE. 560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75218",
            "telephone_number": "214-350-0708",
            "fax_number": "214-350-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOA MEDICAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "LAWSON",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "469-682-6743",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MM Kec PLLC
• MMS Equipment of Dallas Central Inc.
• MMS Equipment of Dallas Central Inc.
• MMV Associates, PLLC
• Lai King Jessica Mo NG, PA-C
• Lindy Lee Moake, PCCNP
• Ousama Moammar, MD
• Amanda Frances Moates, PH.D.
• Farah Moawad
• Ghazaleh Moayedi, DO

• Magnetic Resonance Imaging Radiologic Technologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.