institution
Graciela Moreno, M.d., P.a.
General Practice Physician in San Antonio, Texas
NPI 1700096070

Graciela Moreno, M.d., P.a. is a General Practice Physician based in San Antonio, TX. Graciela Moreno, M.d., P.a. practices in San Antonio, TX. The NPI Number for Graciela Moreno, M.d., P.a. is 1700096070 and holds a License No. L4580 (Texas).

The current practice location address for Graciela Moreno, M.d., P.a. is 2010 Nw Military Hwy, San Antonio, TX and can be reached out via phone at 210-373-0880 and via fax at 866-232-0628.

Location: 2010 Nw Military Hwy, San Antonio, TX, 78258-4590
institution
Provider Profile Details
NPI Number
1700096070
Provider Name
Graciela Moreno, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
2010 Nw Military Hwy, San Antonio, TX, 78258-4590
Phone Number
210-373-0880
Fax Number
866-232-0628
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1740253541 01 NPI INDIVIDUAL
8C0894 01 TX MEDICARE INDIVIDUAL NUMBER
1700096070 01 NPI GROUP
168973901 05 TX
institution
Provider Business Practice Location Address Details
Address
2010 Nw Military Hwy
City
State
Zip
78213-2130
Phone Number
210-373-0880
Fax Number
866-232-0628
person
Provider Business Mailing Address Details
Address
2010 Nw Military Hwy
City
State
Zip
78213-2130
Phone Number
210-373-0880
Fax Number
866-232-0628
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
L4580 (Texas)
Definition
Definition to come...
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