AUSTIN RANDALL MOODY II MD
NPI 1053341875
Psychiatry & Neurology - Neurology in San Antonio, TX

Q: What is Austin Moody's NPI number?

The NPI number for Austin Moody is 1053341875. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Austin Moody's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Austin Moody was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 04, 2006

7400 MERTON MINTER ST, NEURO SECTION, MAIL STOP 111D, SAN ANTONIO, TX 78229(830) 285-4096(830) 896-3310 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Austin Randall Moody Ii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUSTIN RANDALL MOODY II MD (NPI 1053341875) is an individual neurology provider in San Antonio, Texas, licensed in Texas (G3620) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1053341875

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameAUSTIN RANDALL MOODY IICredential: MD

Location Address7400 MERTON MINTER ST, NEURO SECTION, MAIL STOP 111DSan Antonio, TX 78229-4404

Mailing Address218 Quinlan Street, Pmb #373Kerrville, TX 78028 · (830) 285-4096 · Fax (830) 896-3310

Phone(830) 285-4096

Fax(830) 896-3310

Sole ProprietorNo

Enumeration DateJuly 4, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1053341875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in TX · G3620

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

7400 MERTON MINTER ST, San Antonio, TX 78229

Open in Google Maps ↗

Other Identifiers 1

Medicaid034299003TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. UTE ANNA HALL LCSW

Social Worker

7400 MERTON MINTER ST, MAILCODE 122
SAN ANTONIO, TX 78229

Bexar County (210) 617-5300

DR. JOHN GIBBONS JORDAN JR. M.D., M.P.H.

Preventive Medicine (Public Health & General Preventive Medicine)