Organization
BRIDGET MORENO APN-BC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET V MORENO NP (PRESIDENT)
(210) 279-3851
Entity
Organization
Contact information
Practice address
343 W HOUSTON ST STE 203, SAN ANTONIO, TX 78205-2106
(210) 279-3851
(210) 223-1814
Mailing address
7603 BLUE FLAX CV, SAN ANTONIO, TX 78249-2562
(210) 279-3851
(210) 223-1814
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
600172
TX
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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