# BRIDGET MORENO APN-BC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033358049
- **Authorized official:** BRIDGET V MORENO NP (PRESIDENT)
- **Authorized official phone:** (210) 279-3851

## Contact information

- **Practice address:** 343 W HOUSTON ST STE 203, SAN ANTONIO, TX 78205-2106
- **Practice address phone:** (210) 279-3851
- **Practice address fax:** (210) 223-1814
- **Mailing address:** 7603 BLUE FLAX CV, SAN ANTONIO, TX 78249-2562
- **Mailing address phone:** (210) 279-3851
- **Mailing address fax:** (210) 223-1814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 600172 | TX | Yes |

## Other

- **Enumeration date:** 02/13/2009
- **Last updated:** 02/13/2009