GRACIELA MORENO M.D. P.A. NPI 1700096070

NPI Information

GRACIELA MORENO, M.D., P.A. is a general practice in San Antonio, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GRACIELA MORENO, M.D., P.A. NPI is 1700096070. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2010 NW MILITARY HWY
SAN ANTONIO, TX
ZIP 78213-130
Phone: (210) 373-0880
Fax: (866) 232-0628

The provider's authorized official is Graciela Moreno .
The authorized official title is Physician Owner/president and has the following contact phone number (210) 373-0880.

The CLIA number assigned to this NPI record is 45D1035248 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 12/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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