Seth Moyer Support Microboard, Inc.

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

SETH MOYER SUPPORT MICROBOARD, INC.

Practice address

7665 FM 327
Elmendorf, TX 78112-9808

Phone

(210) 635-8339

Fax

(210) 635-8339

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Martha Kent Moyer

Title

Executive Director

Phone

(210) 635-8338

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1932387180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 FM 327",
            "city": "ELMENDORF",
            "state": "TX",
            "postal_code": "781129808",
            "telephone_number": "210-635-8339",
            "fax_number": "210-635-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 FM 327",
            "city": "ELMENDORF",
            "state": "TX",
            "postal_code": "781129808",
            "telephone_number": "210-635-8339",
            "fax_number": "210-635-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH MOYER SUPPORT MICROBOARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "210-635-8338",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315P00000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Supports Brokerage Agency in Elmendorf, TX
• Providers in Elmendorf, TX by specialty
• Supports Brokerage Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.