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Bacilio Moreno, C,P
Prosthetist in Leon Valley, Texas
NPI 1205281169

Bacilio Moreno is a Prosthetist based in Leon Valley, TX. Bacilio Moreno practices in Leon Valley, TX and has the professional credentials of C,P. The NPI Number for Bacilio Moreno is 1205281169 and holds a License No. 79 (Texas).

The current practice location address for Bacilio Moreno is 5309 Wurzbach Rd, Leon Valley, TX and can be reached out via phone at 210-465-9113 and via fax at 210-932-8015.

Location: 5309 Wurzbach Rd, Leon Valley, TX, 78238-2431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205281169
Provider Name
Bacilio Moreno
Credential
C,P
Provider Entity Type
Individual
Gender
Male
Address
5309 Wurzbach Rd, Leon Valley, TX, 78238-2431
Phone Number
210-465-9113
Fax Number
210-932-8015
Provider Enumeration Date
04/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5309 Wurzbach Rd
City
Leon Valley
State
Texas
Zip
78238-2431
Phone Number
210-465-9113
Fax Number
210-932-8015
person
Provider Business Mailing Address Details
Address
5309 Wurzbach Rd
City
Leon Valley
State
Texas
Zip
78238-2431
Phone Number
210-465-9113
Fax Number
210-932-8015
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
79 (Texas)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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