Halie Annette Moreno, PA-C, MPAS, MPH

NPI #1093412256 in Southlake, Texas

Provider Information

NPI Number: 1093412256
Entity Type: Individual
Name: Halie Annette Moreno, PA-C, MPAS, MPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, MPAS, MPH
Enumeration Date: Feb 8, 2023
Last Updated: Feb 8, 2023

Practice Location

Address: 100 W SOUTHLAKE BLVD STE 420
City: Southlake
State: Texas
ZIP Code: 76092-6166
Phone: (870) 918-2463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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