Moreno, Efren Antonio
Moreno, Efren Antonio is an sole proprietor health care provider with primary practice located at 6999 Mcpherson Rd Suite 110, Laredo TX 78041-6449. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moreno, Efren Antonio can be contacted via phone (956) 722-8263.Contact Information
Primary practice address
6999 Mcpherson Rd Suite 110
Laredo TX 78041-6449
Phone: (956) 722-8263
Fax: (956) 727-5321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | H5938 | Texas |
Profile Details
| NPI number | 1679560817 |
|---|---|
| LBN Legal business name | Moreno, Efren Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Jul 14th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679560817 | NPPES |
| Texas | MEDICAID | 089613602 |
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