Individual
AMY CATHERINE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-6161
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
S1461
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402651001
—
TX
01
—
402651002
CSHCN TPI
TX
Enumeration date
04/05/2014
Last updated
07/10/2020
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