Moreno, Luz
Moreno, Luz is an individual health care provider with primary practice located at 1123 N Main Ave Ste 120 , San Antonio TX 78212-4738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Moreno, Luz can be contacted via phone (210) 226-2001.Contact Information
Primary practice address
1123 N Main Ave Ste 120
San Antonio TX 78212-4738
Phone: (210) 226-2001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | K1882 | Texas |
Profile Details
| NPI number | 1790751592 |
|---|---|
| LBN Legal business name | Moreno, Luz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jan 21st, 2019 - about 5 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 | 1790751592 | NPPES |
| Texas | MEDICAID | 046186501 |
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