DR. EDUARDO P MORENO (NPI# 1629140306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629140306 |
| Entity Type | Individual |
| Full Name | DR. EDUARDO P MORENO |
| Credential | M.D. |
| Practice Address |
210 S Avenue C Crystal City TX 78839-3834 |
| Mailing Address |
210 S Avenue C P.o. Box 725 Crystal City TX 78839-3834 |
| Practice Telephone | 8303742952 |
| Practice Fax Number | 8303743784 |
| Mailing Telephone | 8303742952 |
| Mailing Fax Number | 8303743784 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-3738 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | E-3738 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHEILD | 00BT71 | 01 |
| TX | 063386901 | 05 | |
| TX | TEXAS HEALTH STEPS | 017498901 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497273023 | Eduardo Fabian Moreno | Counselor | 83 Edgemont Rd Apt 7, Asheville, NC 28801-1571 | 2017-09-04 |
| 1730135435 | Eduardo C Moreno | Urology | 4553 Pleasant Hill Rd, Suite A, Kissimmee, FL 34759 | 2006-05-25 |
| 1780888362 | Eduardo Enrique Moreno | Anesthesiology | 45 Ne Loop 410, Suite 900, San Antonio, TX 78216-5832 | 2007-06-14 |
| Street Address |
210 S AVENUE C |
| City | CRYSTAL CITY |
| State | TX |
| Zip Code | 78839-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270544 | Tracie Michelle Jolic | Nurse Practitioner | 210 S Avenue C, Crystal City, TX 78839-3834 | 2018-06-25 |
| 1013275197 | Robin Rivers | Physician Assistant | 210 S Avenue C, Crystal City, TX 78839-3834 | 2012-04-26 |
| 1376732099 | Eduardo Moreno, M.d., Rural Health Clinic, LLP | Internal Medicine | 210 S Avenue C, Crystal City, TX 78839-3834 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813118 | Adrianna Mendoza | Licensed Vocational Nurse | 308 Las Palmas Ave, Crystal City, TX 78839 | 2020-08-28 |
| 1396293155 | Fresenius Medical Care San Antonio, LLC | Clinic/Center | 1313 Veteran's Blvd., Suite E, Crystal City, TX 78839 | 2016-09-21 |
| 1356352827 | Childrens Clinic of Dimmit and Zavala Pa | Pediatrics | 1313 Veterans Avenue, Suite C, Crystal City, TX 78839 | 2006-08-10 |
| 1396214706 | Roger Dehoyos | Nurse Practitioner | 1313 Veterans Ave Ste A, Crystal City, TX 78839-1651 | 2018-11-14 |
| 1548786395 | Crystal City Pharmacy LLC | Pharmacy | 1313 Veterans Ave Ste I, Crystal City, TX 78839-1651 | 2017-08-14 |
| 1154856300 | Maria Teresa Chapa | Speech-Language Pathologist | 1313 Veterans Ave Ste H, Crystal City, TX 78839-1651 | 2017-04-25 |
| 1750901070 | Dimmit Regional Hospital | Clinic/Center | 1313 Veterans Ave Ste A, Crystal City, TX 78839-1651 | 2020-04-17 |
| 1184614091 | Lopez Health Systems, Inc | Homemaker | 2209 N Highway 83, Crystal City, TX 78839-1756 | 2005-10-24 |
| 1295369783 | Janelle Garcia | Licensed Vocational Nurse | 501 E Refugio St, Crystal City, TX 78839-2009 | 2020-02-24 |
| 1609439215 | Linda Lomas | Licensed Vocational Nurse | 701 E Bexar St, Crystal City, TX 78839-2314 | 2019-04-18 |
| Find all providers in zip 78839 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407965908 | Salvador Gonzalez | Family Medicine | 308 S Cesar Chavez Ave, Crystal City, TX 78839-4200 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL CITY |
| Zip Code | 78839 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.