Graciela Moreno, M.D., P.A.
LBN: Graciela Moreno, M.D., P.A.
Graciela Moreno, M.D., P.A. is an health care organization with primary practice located at 2010 Nw Military Hwy , San Antonio TX 78213-2130. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
Graciela Moreno, M.D., P.A. can be contacted via phone (210) 373-0880, or through Moreno, Graciela via phone (210) 373-0880.
Contact Information
Primary practice address
2010 Nw Military Hwy
San Antonio TX 78213-2130
Phone: (210) 373-0880
Fax: (866) 232-0628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | L4580 | Texas |
Profile Details
| NPI number | 1700096070 |
|---|---|
| LBN Legal business name | Graciela Moreno, M.D., P.A. |
| DBA Doing business as | |
| Authorized official | Moreno, Graciela Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Dec 26th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700096070 | NPPES |
| Other | 1740253541 | NPI INDIVIDUAL | |
| Other | 8C0894 | NPI INDIVIDUAL | |
| Other | 1700096070 | NPI INDIVIDUAL | |
| MEDICAID | 168973901 | NPI INDIVIDUAL |
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