Bacilio Moreno, C, P
Bacilio Moreno, C, P is a Prosthetist in Leon Valley, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2016
Practice location Address checks out
5309 Wurzbach RdLeon Valley, TX 78238-2431
Phone: (210) 465-9113
Fax: (210) 932-8015
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence 79 (TX) |
|---|
Record details
| NPI number | 1205281169 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | C , P |
| Sole proprietor | Yes |
| NPI enumerated | April 28, 2016 |
| Last updated in NPPES | April 28, 2016 |
| Mailing address | 5309 Wurzbach Rd, Leon Valley, TX 78238-2431 |