Moreno, Richard
Moreno, Richard is an sole proprietor health care provider with primary practice located at 1721 W Plano Pkwy Suite 107, Plano TX 75075-8634. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moreno, Richard can be contacted via phone (972) 673-4111.Contact Information
Primary practice address
1721 W Plano Pkwy Suite 107
Plano TX 75075-8634
Phone: (972) 673-4111
Fax: (972) 578-8397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 24453 | Texas |
Profile Details
| NPI number | 1073665931 |
|---|---|
| LBN Legal business name | Moreno, Richard |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1073665931 | NPPES |
| Texas | Other | 0022LV | BLUE CROSS BLUE SHIELD |
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