Individual
CARLOS A MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST STE 230, HOUSTON, TX 77030-3002
(832) 325-6500
(713) 512-2236
Mailing address
6410 FANNIN ST STE 230, HOUSTON, TX 77030-3002
(832) 325-6500
(713) 512-2236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F1837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132542501
CSHCN
TX
05
—
132542503
—
TX
01
—
88Y347
BCBS
TX
Enumeration date
06/10/2006
Last updated
05/14/2024
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