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Individual

MANUEL MORENO III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.R.T

Contact information

Practice address
4501 S EXPRESSWAY 83, HARLINGEN, TX 78550-7953
(956) 739-4586
Mailing address
405 STONEGATE, MISSION, TX 78574-3499
(956) 581-1982

Taxonomy

Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary

Other

Enumeration date
06/29/2006
Last updated
07/08/2007
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