Organization · Type 2 NPI
Moonbeam Pediatric Therapy Services, PLLC
Clinic/Center · San Antonio, TX
NPI number
1609725027
Active
Practice location
8718 Wickersham St
San Antonio, TX 78254-2248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1609725027
Moonbeam Pediatric Therapy Services, PLLC's National Provider Identifier is 1609725027, issued on Jan 27, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Antonio, TX. The record was last updated on Jan 27, 2026.