Individual
LEROY MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1506 LONESTAR PLAZA WAY STE 7, EDINBURG, TX 78539-0228
(956) 348-2918
(956) 348-2927
Mailing address
2046 S MCCOLL RD, EDINBURG, TX 78539-0228
(956) 393-2200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
H8062
TX
Other
Enumeration date
10/12/2015
Last updated
06/26/2023
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