Individual
YONNY LUIS MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
6560 FANNIN ST, 1610, HOUSTON, TX 77030-2761
(713) 271-2384
(713) 583-2061
Mailing address
PO BOX 3025, HOUSTON, TX 77253-3025
(713) 271-2384
(713) 583-2061
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
14-498
TX
Other
Enumeration date
09/01/2016
Last updated
02/07/2017
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