Individual
EFREN ANTONIO MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6999 MCPHERSON RD, SUITE 110, LAREDO, TX 78041-6449
(956) 722-8263
(956) 727-5321
Mailing address
6999 MCPHERSON RD, SUITE 110, LAREDO, TX 78041-6449
(956) 722-8263
(956) 727-5321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H5938
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089613602
—
TX
Enumeration date
10/03/2005
Last updated
07/14/2009
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