Moreno, Juan D

Moreno, Juan D is an individual health care provider with primary practice located at 221 3Rd St W Bldg 1040 , Jbsa Randolph TX 78150-4800. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Moreno, Juan D can be contacted via phone (210) 652-6550.

Contact Information

Primary practice address
221 3Rd St W Bldg 1040 Jbsa Randolph TX 78150-4800
Phone: (210) 652-6550
Fax: (210) 292-4130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2017021 New Mexico

Profile Details

NPI number 1447640842
LBN Legal business name Moreno, Juan D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2015
Last updated Aug 21st, 2023 - about last year

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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