Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moreno Medical Clinic West

Organization Physician Assistant · NPI 1770002107

Moreno Medical Clinic West is a Physician Assistant in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017

Practice location Address checks out

426 Castroville Rd Ste 4
San Antonio, TX 78207-5169
Phone: (210) 994-6181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00125 (TX)

Record details

NPI number1770002107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roland Mena — Physician Assistant · (210) 994-6181
NPI enumeratedSeptember 18, 2017
Last updated in NPPESJuly 21, 2022
Mailing address426 Castroville Rd Ste 4, San Antonio, TX 78207-5169

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