Individual
MELISSA L MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8426 SPRINGFIELD GORGE DR, ROUND ROCK, TX 78681-3543
(254) 258-4649
(315) 772-9498
Mailing address
8426 SPRINGFIELD GORGE DR, AUSTIN, TX 78681-3543
(512) 582-2388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
02/05/2025
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