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Individual

CARLOS I MORENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3516 W ALBERTA RD, EDINBURG, TX 78539-8466
(956) 803-0121
Mailing address
16568 GARRETT RD, HARLINGEN, TX 78552-4229
(956) 767-0761

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L1135
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030382801
TX
01
030382805
CSHCN
TX
05
030382805
TX
01
8R0693
BCBS
TX
Enumeration date
11/16/2005
Last updated
07/06/2022
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