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MIA KWUN MOON M.D/
NPI 1568417509
Family Medicine in Fort Worth, TX

Active since May 24, 2006
2500 WEST FWY, FORT WORTH, TX 76102(817) 882-8700 Get Directions Write a Review

NPPES record last updated: April 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mia Kwun Moon M.d/ NPPES

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

MIA KWUN MOON M.D/ (NPI 1568417509) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (P5690) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1568417509
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMIA KWUN MOONCredential: M.D/
Location Address2500 WEST FWYFort Worth, TX 76102-5848
Mailing Address3736 Clarke AveFort Worth, TX 76107-2634 · (951) 538-8081
Phone(817) 882-8700
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateApril 17, 2013
✔ NPI 1568417509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · P5690✔ Licensed in CA · A62310
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2500 WEST FWY, Fort Worth, TX 76102
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Other Names 1

Former Name (1)Mia O Kwun M.d.

Other Identifiers 2

Medicare UPINH09206CA
Medicaid00A623100CA

Other Providers at the Same Location NPPES 11

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

DIANE R ALFINO O.T.
Occupational Therapist
2500 WEST FWY, SUITE 100
FORT WORTH, TX 76102
Tarrant County (888) 997-2669
KOLLIN JAMES TERRELL DPT
Physical Therapist
2500 WEST FWY, #100
FORT WORTH, TX 76102
Tarrant County (817) 882-8700
ROY G KREUSEL M.D.
Preventive Medicine (Occupational Medicine)
2500 WEST FWY, SUITE 100
FORT WORTH, TX 76102
Tarrant County (615) 778-4066
DR. JOHN ANTHONY SKLAR M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
2500 WEST FWY, SUITE 400
FORT WORTH, TX 76102
Tarrant County (817) 870-1868
LEGACY HEART CARE OF FORT WORTH LLC
Internal Medicine (Cardiovascular Disease)
2500 WEST FWY, SUITE 200
FORT WORTH, TX 76102
Tarrant County (817) 423-4400
LEGACY HEART CARE INC
Specialist
2500 WEST FWY, SUITE 300
FT WORTH, TX 76102
Tarrant County (817) 423-4400
LEGACY HEART CARE INC
Internal Medicine
2500 WEST FWY, STE 300
FORT WORTH, TX 76102
Tarrant County (817) 423-4400
MARK E MORRIS M.D.
General Practice
2500 WEST FWY, SUITE 100
FORT WORTH, TX 76102
Tarrant County (615) 778-4066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Moon's NPI number?

The NPI number for Mia Moon is 1568417509. It was assigned to this individual provider in the NPPES registry on May 24, 2006. The provider is also known as Mia O Kwun M.D..

Where is Mia Moon located?

Mia Moon practices at 2500 West Fwy, Fort Worth, TX 76102. The listed phone number is (817) 882-8700.

What is Mia Moon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mia Moon was last updated on April 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.