Individual
ALENA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3985
Mailing address
7703 FLOYD CURL DR, MC 7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
(210) 257-1428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03632
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182138101
—
TX
05
—
182138102
—
TX
Enumeration date
08/10/2006
Last updated
05/12/2015
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