Meredith Elise Moomaw

Physician Assistant · Temple, TX

Individual Active NPI

NPI number 1043948391

Practice location

2401 S 31st St
Temple, TX 76508-4145
Phone
(254) 724-2111

Open in Google Maps

NPI record

NPI
1043948391
Entity type
Individual (Type 1)
Enumeration date
August 12, 2022
Last updated
January 27, 2023
Certified
January 27, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA16056 TX
Physician Assistant 363A00000X — —

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone
(254) 724-2111

About Meredith Moomaw

Meredith Elise Moomaw is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2401 S 31st St, Temple, TX 76508-4145. The NPI number 1043948391 was assigned on August 12, 2022 and the record was last updated on January 27, 2023.

Meredith Moomaw lists a license in the registry: #PA16056 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Meredith Elise Moomaw?

The NPI number is 1043948391.

What is the phone number of Meredith Moomaw?

The phone number listed for the practice location is (254) 724-2111.

Where is Meredith Moomaw located?

2401 S 31st St, Temple, TX 76508-4145.

What is the taxonomy code for Meredith Moomaw?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Temple

All Physician Assistant providers in Temple, TX →