MEDICARE: KAITLYN MOORHOUSE AGACNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	1060446	TX
2	363L00000X	Nurse Practitioner	1060446	TX

General Provider Information

NPI Number	:	1366191306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN MOORHOUSE AGACNP-BC

Provider Business Mailing Address
First Line	:	103 SUFFOLK PL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-3142
Country	:	US
Telephone Number	:	432-223-8811
Fax Number	:

Provider Business Practice Location Address
First Line	:	4411 MEDICAL DR STE 120
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3832
Country	:	US
Telephone Number	:	210-614-5400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2022
Last Update Date	:	03/18/2022

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1336120054 — CANCER CARE CENTERS OF SOUTH TEXAS
Practice Location Address:

4411 MEDICAL DR, STE. 100
SAN ANTONIO, TX
78229-3832

Practice Phone: 210-595-5300
Practice Fax: 210-614-8740

1952373656 — SREEDEVI DAGGUBATI MD
Practice Location Address:

4411 MEDICAL DR
SAN ANTONIO, TX
78229-3832

Practice Phone: 210-595-5300
Practice Fax: 210-614-8740

1841441961 — CANCER CARE NETWORK OF SOUTH TEXAS PA
Practice Location Address:

4411 MEDICAL DRIVE , STE. 100
SAN ANTONIO, TX
78229-3832

Practice Phone: 210-595-5300
Practice Fax: 210-595-5301

1336390269 — CANCER CARE NETWORK OF SOUTH TEXAS PA
Practice Location Address:

4411 MEDICAL DRIVE , STE. 100
SAN ANTONIO, TX
78229-3832

Practice Phone: 210-595-5300
Practice Fax: 210-595-5301

1982855813 — CANCER CARE NETWORK OF SOUTH TEXAS PA
Practice Location Address:

4411 MEDICAL DRIVE , STE. 100
SAN ANTONIO, TX
78229-3832

Practice Phone: 210-595-5300
Practice Fax: 210-595-5301

Directions to “ KAITLYN MOORHOUSE AGACNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.