Organization Active NPI

P.a.Moya Csfa, LLC

  • Surgical Physician Assistant
  • Watauga, TX
National Provider Identifier
1386915072
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
P.A.MOYA CSFA, LLC
Practice address
7401 Quail CT
Watauga, TX 76148-1639
Phone
(817) 485-6550
Fax
(817) 581-8925
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Mr. Patrick Anthony Moya, CSFANPI 1942455365
Title
Csfa
Phone
(817) 485-6550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

7401 Quail CT
Watauga, TX 76148-1639

Mailing address

7401 Quail CT
Watauga, TX 76148-1639
Phone (817) 485-6550

Other identifiers 1

IdentifierTypeStateIssuer
1942455365OtherTXINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1386915072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 QUAIL CT",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761481639",
            "telephone_number": "817-485-6550",
            "fax_number": "817-581-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 QUAIL CT",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761481639",
            "telephone_number": "817-485-6550",
            "fax_number": "817-581-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.A.MOYA CSFA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CSFA",
        "authorized_official_telephone_number": "817-485-6550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1942455365",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watauga, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.