Individual
JUAN JOSE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
122 N ALAMO RD, ALAMO, TX 78516-2200
(956) 782-6611
(956) 782-1822
Mailing address
1002 W SAM HOUSTON ST, SUITE 4, PHARR, TX 78577-5224
(956) 783-1400
(956) 783-8818
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03364
TX
Other
Enumeration date
04/06/2007
Last updated
10/21/2014
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