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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790751592 NPPES
Texas MEDICAID 046186501

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