Organization
ALEJANDRA MORENO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA ALEJANDRA MORENO MD (PHYSICIAN/OWNER)
(830) 769-1045
Entity
Organization
Contact information
Practice address
1901 HIGHWAY 97 E, SUITE 120, JOURDANTON, TX 78026-1517
(830) 769-1045
(830) 769-1105
Mailing address
1901 HIGHWAY 97 E, SUITE 120, JOURDANTON, TX 78026-1517
(830) 769-1045
(830) 769-1105
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200692601
—
TX
01
—
N0999
MEDICAL LICENSE
TX
01
—
Y0160463
DPS
TX
Enumeration date
12/18/2008
Last updated
03/07/2023
Update your record
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