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Individual

JORGE HUMBERTO MORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MSC

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-8555
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-8555

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
T8893
TX
2084N0400X
Neurology Physician
Primary
A196204
CA
2084N0400X
Neurology Physician
Primary
T8893
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2018
Last updated
04/30/2026
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