Moreno Vera, Mauricio Alejandro

Moreno Vera, Mauricio Alejandro is an individual health care provider with primary practice located at 4301 W Markham St # 783 , Little Rock AR 72205-7101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Moreno Vera, Mauricio Alejandro can be contacted via phone (501) 686-8000.

Contact Information

Primary practice address
4301 W Markham St # 783 Little Rock AR 72205-7101
Phone: (501) 686-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X E-6119 Arkansas

Profile Details

NPI number 1245466861
LBN Legal business name Moreno Vera, Mauricio Alejandro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2009
Last updated Sep 1st, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245466861 NPPES
Arkansas MEDICAID 177896001

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