Individual
ERIC MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 50032, AMARILLO, TX 79159-0032
(806) 640-2718
Mailing address
PO BOX 50032, AMARILLO, TX 79159-0032
(806) 640-2718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
893145
TX
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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