| Organization Name: | P.A.MOYA CSFA, LLC |
| NPI Number: | 1386915072 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK ANTHONY MOYA (CSFA) |
| Mailing Address: | 7401 Quail Ct Watauga |
| State: | TX US |
| Postal Code: | 761481639 |
| Phone Number: | 8174856550 |
| Fax Number: | 8175818925 |
| NPI Enumeration Date: | 01/26/2012 |
| NPI Last Update Date: | 01/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |