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Organization
LEROY MORENO PA-C PLLC
Active
Organization
LEROY MORENO PA-C PLLC
Active
Other names
LEGACY MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY MORENO PA (OWNER)
(956) 648-5011
Entity
Organization
Contact information
Practice address
1506 S LONE STAR WAY STE 7, EDINBURG, TX 78539-4977
(956) 348-2918
(956) 348-2927
Mailing address
1506 LONESTAR PLAZA WAY STE 7, EDINBURG, TX 78539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/23/2023
Last updated
07/03/2023
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