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Organization
MORENO MEDICAL CLINIC WEST
Active
Organization
MORENO MEDICAL CLINIC WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND F MENA PA (PHYSICIAN ASSISTANT)
(210) 994-6181
Entity
Organization
Contact information
Practice address
426 CASTROVILLE RD STE 4, SAN ANTONIO, TX 78207-5169
(210) 994-6181
Mailing address
426 CASTROVILLE RD STE 4, SAN ANTONIO, TX 78207-5169
(210) 994-6181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00125
TX
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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