MEDICARE: ERIN NICOLE MOODY MD

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	2085R0204X	Vascular & Interventional Radiology Physician	N7314	TX
2	2085R0202X	Diagnostic Radiology Physician	N7314	TX

General Provider Information

NPI Number	:	1922260884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN NICOLE MOODY MD

Provider Business Mailing Address
First Line	:	3226 REID DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78404-2519
Country	:	US
Telephone Number	:	512-658-5729
Fax Number	:

Provider Business Practice Location Address
First Line	:	5950 SARATOGA BOULEVARD
Second Line	:	CHRISTUS SPOHN HOSPITAL -SOUTH
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414
Country	:	US
Telephone Number	:	512-658-5729
Fax Number	:

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

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	02/18/2026

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Directions to “ ERIN NICOLE MOODY MD” Practice Location

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