Individual
DR. MICHELLE P MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
219 E LOCUST ST, SAN ANTONIO, TX 78212-3955
(210) 333-4755
(210) 333-1833
Mailing address
219 E LOCUST ST, SAN ANTONIO, TX 78212-3955
(210) 333-4755
(210) 333-1833
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
23265
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032702501
—
TX
Enumeration date
07/27/2006
Last updated
07/08/2007
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