Song Jun Moon, PA-C
Physician Assistant · Lackland A F B, TX
Song Jun Moon, PA-C is a physician assistant with a practice address in Lackland A F B, Texas, and NPI 1780019539, issued on Sep 12, 2013. Check the license (Texas PA18550, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Song Jun Moon
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA18550 TX
Self-reported in NPPES; status is on the state search - Practice location
- 1100 Wilford Hall Loop Bldg 4554, Lackland A F B, TX 78236
- Phone
- (210) 292-1455
- Enumerated
- Sep 12, 2013
- Record last updated
- Dec 17, 2024
- Medicare enrollment
- Enrolled (PECOS I20250625000934); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 10,999 in Texas → Look up another NPI →
Also registered at 1100 Wilford Hall Loop Bldg 4554
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Karla Adams, MDAllergy & Immunology Physician1174646582
- Caroline Bolduc, D.O.Internal Medicine Physician1780943035
- Logan Davis, PT, DPTPhysical Therapist1083227250
- Jamie Deluca-King, AUDAudiologist1851645915
- Michael Edging, FNP-BCFamily Nurse Practitioner1649594813
- Charisma Evangelista, M.D.Cornea and External Diseases Specialist Physician1386967982
Verify Song Jun Moon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license PA18550Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Family Care Center LLCSan Antonio, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Song Jun Moon among 10,999 physician assistant records in Texas
Song Jun Moon, PA-C is one of 10,999 physician assistant records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 37% of them.
- NPI issued2013 · 37% of these records are older, 60% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 55% of these records are
- Graduated2014 · median 2017 among the 6,096 with a school on file
- Record last updated2024 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 physician assistant records list a practice address in Lackland A F B
They are 13 of the 412 NPPES records with a practice address in Lackland A F B, and 10,999 physician assistant records in Texas.
All 10,999 in Texas → Every provider in Lackland A F B → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Roy Estrada, PH.D., PA-C, CIPJbsa Lackland, TX 782361760456917
- Carol Forrest, PHYSICIAN ASSISTANTLackland A F B, TX 782361356480248
- Julie Glover, PA-C, DSCJbsa Lackland, TX 782361205978558
- Elizabeth Goedecke, PA-CLackland A F B, TX 782361265589436
- Amanda Goyet, PA-CJbsa Lackland, TX 782361659446474
- Terry Mathews, PA-CSan Antonio, TX 782361942283924
- William McLean, PA-CSan Antonio, TX 782361053343962
- Rene McQueen, PA-CLackland A F B, TX 782361467430421
Common questions
What is Song Jun Moon, PA-C's NPI number?
Song Jun Moon, PA-C's National Provider Identifier (NPI) is 1780019539, issued on Sep 12, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Song Jun Moon, PA-C located?
The NPPES record lists a practice address at 1100 Wilford Hall Loop Bldg 4554, Lackland A F B, TX, 78236. Phone: (210) 292-1455. Providers update this record themselves, so call before visiting.
How can I verify Song Jun Moon, PA-C's license?
NPPES lists Texas license number PA18550, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.