IndividualActive
Addi Moya, MD
NPI 1679320923 · Plastic and Reconstructive Surgery Physician · Galveston, TX
Provider details
- NPI number
- 1679320923
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- BP10089992 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
301 University Blvd
Galveston, TX 77555-0724
Phone: (409) 772-8119
Fax: (409) 772-1872
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 650859
Dallas, TX 75265-0859
Registry dates
- Enumerated
- 2024-05-03
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.