Individual
DR. INGRID MORENO DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD # CS2.606, DALLAS, TX 75390-7208
(617) 304-8044
Mailing address
5323 HARRY HINES BLVD # CS2.606, DALLAS, TX 75390-7208
(617) 304-8044
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
259913
MA
207LP3000X
Pediatric Anesthesiology Physician
Primary
S7100
TX
Other
Enumeration date
06/18/2014
Last updated
06/22/2020
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