Bacilio Moreno
Prosthetist
5309 Wurzbach Rd
Leon Valley
, Texas 78238-2431
Bacilio Moreno
Prosthetist
5309 Wurzbach Rd
Leon Valley
, Texas 78238-2431
(210) 932-8015
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Bacilio Moreno
- 5309 Wurzbach Rd
- Leon Valley, TX
- Zip : 78238-2431
- Fax : (210) 932-8015
- Phone : (210) 465-9113
Second Address
- Bacilio Moreno
- 5309 Wurzbach Rd
- Leon Valley, TX
- Zip : 78238-2431
- Fax : (210) 932-8015
- Phone : (210) 465-9113
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In what state does Bacilio Moreno practice in?
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Is Bacilio Moreno a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 79 | TX |
National Provider Identifier
| NPI | 1205281169 |
|---|---|
| Provider Name | Bacilio Moreno |
| First Address | Leon Valley, TX 78238-2431 |
| Second Address | Leon Valley, TX 78238-2431 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2016 |
| Last Update Date | 28/04/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.