Moran, Mark Alan

Moran, Mark Alan is an individual health care provider with primary practice located at 4680 Lockhill Selma Rd Ste 200 , San Antonio TX 78249-2094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Moran, Mark Alan can be contacted via phone (210) 805-9800.

Contact Information

Primary practice address
4680 Lockhill Selma Rd Ste 200 San Antonio TX 78249-2094
Phone: (210) 805-9800
Fax: (210) 805-8770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X M5388 Texas

Profile Details

NPI number 1881738219
LBN Legal business name Moran, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2007
Last updated Jun 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881738219 NPPES
Texas MEDICAID 185110701

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