Organization
EDUARDO MORENO, M.D., RURAL HEALTH CLINIC, LLP
Active
Other names
Helen E Moreno
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN E MORENO (CLINIC ADMINISTRATOR)
(210) 497-4272
Entity
Organization
Contact information
Practice address
210 S AVENUE C, CRYSTAL CITY, TX 78839-3834
(830) 374-2952
(830) 374-3784
Mailing address
210 S AVENUE C, P.O. BOX 725, CRYSTAL CITY, TX 78839-3834
(830) 374-2952
(830) 374-3784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E3738
TX
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BT71
BLUE CROSS BLUE SHEILD
—
05
—
063386901
—
TX
Enumeration date
10/18/2007
Last updated
07/09/2024
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