Individual
DR. EDUARDO ENRIQUE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 CONCORD PLAZA DR STE 200, SAN ANTONIO, TX 78216-6990
(210) 804-5400
Mailing address
45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 78216-5832
(210) 375-7790
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP1-0026969
TX
207L00000X
Anesthesiology Physician
Primary
M6782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8BZ603
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/14/2007
Last updated
08/14/2025
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