Registry record
- NPI
- 1780019539
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 1100 Wilford Hall Loop Bldg 4554
Lackland AFB, TX 78236 - Phone
- 2102921455
- In the registry since
- September 12, 2013
- Last NPPES update
- December 17, 2024
- Sole proprietor
- Yes
- License
- PA18550 (TX)
At this location
3 other providers in our data list 1100 Wilford Hall Loop Bldg 4554, Lackland AFB as a practice address:
- Michael Hylton Edging, FNP-BC
Family Nurse Practitioner · NPI 1649594813
- Mr. Matthew Thomas Evans
Family Nurse Practitioner · NPI 1144728593
- Dominique Blancett Mercado, PA
Physician Assistant · NPI 1497453997
In context
The NPI number of Song Moon is 1780019539. They are a Physician Assistant in Lackland AFB, Texas.
Song Moon is one of 10 Physician Assistants in Lackland AFB and one of 11,405 across Texas in our data.
The NPI has been in the federal registry for 12 years, since September 12, 2013.
Frequently asked questions
What is NPI 1780019539?
NPI 1780019539 is the 10-digit National Provider Identifier assigned to Song Moon, a Physician Assistant practicing in Lackland AFB, Texas. The record has been in the NPPES registry since September 12, 2013.
How do I verify this provider?
Cross-check NPI 1780019539 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA18550 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as December 17, 2024. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.