Leroy Moreno
Physician Assistant, Medical in Edinburg, TX. Individual provider (NPI-1).
NPI number1861863243
StatusActive
Last updated in NPPESJun 26, 2023
Details
- NPI
- 1861863243
- Entity type
- Individual (NPI-1)
- Name
- Leroy Moreno
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2015
- Certification date
- Jun 26, 2023
- Last updated
- Jun 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | H8062 | TX | Yes |
Practice location
1506 Lonestar Plaza Way Ste 7Edinburg, TX 78539-0228
Phone 956-348-2918 · Fax 956-348-2927
Mailing address
2046 S McColl RdEdinburg, TX 78539-0228
Phone 956-393-2200
Other practice locations
2046 S McColl Rd
Edinburg, TX 78539-0228
Edinburg, TX 78539-0228
Phone 956-393-2200
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