Individual
RAYMOND MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
800 PEAKWOOD DR STE 5D, HOUSTON, TX 77090-2903
(713) 447-3226
Mailing address
800 PEAKWOOD DR STE 5D, HOUSTON, TX 77090-2903
(713) 447-3226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP125390
TX
363LA2100X
Acute Care Nurse Practitioner
AP125390
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353088301
—
TX
Enumeration date
03/13/2014
Last updated
02/04/2020
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