Moreno Medical Clinic West
NPI #1770002107 in San Antonio, Texas
Provider Information
- NPI Number
- 1770002107
- Entity Type
- Organization
- Organization Name
- Moreno Medical Clinic West
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 18, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 426 CASTROVILLE RD STE 4
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78207-5169
- Phone
- (210) 994-6181
Authorized Official
- Name
- MR. ROLAND F MENA, PA
- Title
- PHYSICIAN ASSISTANT
- Phone
- (210) 994-6181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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