Individual
BRIDGET V MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
343 W HOUSTON ST, SUITE 725, SAN ANTONIO, TX 78205-2107
(210) 225-0481
(210) 616-2204
Mailing address
6756 STONYKIRK RD, SAN ANTONIO, TX 78240-2483
(210) 641-0988
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
600172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153374702
—
TX
Enumeration date
06/21/2006
Last updated
02/27/2017
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