Individual
ROSA A MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6835 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3166
(512) 346-6611
(512) 406-7315
Mailing address
4515 SETON CENTER PKWY STE 215, AUSTIN, TX 78759-5785
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G7758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129347401
—
TX
05
—
129347404
—
TX
05
—
129347406
—
TX
05
—
129347407
—
TX
Enumeration date
07/31/2006
Last updated
10/31/2018
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