Moreno, John
Moreno, John is an individual health care provider with primary practice located at 1737 Briarcrest Dr Suite 14, Bryan TX 77802-2769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Moreno, John can be contacted via phone (979) 776-4777.Contact Information
Primary practice address
1737 Briarcrest Dr Suite 14
Bryan TX 77802-2769
Phone: (979) 776-4777
Fax: (979) 776-0588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | H5675 | Texas |
Profile Details
| NPI number | 1033220330 |
|---|---|
| LBN Legal business name | Moreno, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 6th, 2008 - 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 | 1033220330 | NPPES |
| Texas | MEDICAID | 1031999-01 |
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