Provider Demographics
NPI:1366189185
Name:MOY, ANNIE (DO)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:MOY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3601 4TH ST STOP 8340
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430-8340
Mailing Address - Country:US
Mailing Address - Phone:806-743-1946
Mailing Address - Fax:
Practice Address - Street 1:3601 4TH ST STOP 8340
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-8340
Practice Address - Country:US
Practice Address - Phone:806-743-1946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-13
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program