Search › Texas › 224P00000X
Bacilio Moreno, C,P
NPI 1205281169 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5309 Wurzbach Rd
Leon Valley, TX 78238 - Phone
- (210) 465-9113
- Fax
- (210) 932-8015
- Organisation at this address
- Lone Star Provider Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 224P00000X
224P00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas