Individual provider · Type 1 NPI

Yonny Luis Moreno, SA-C

Surgical Physician Assistant · Houston, TX

NPI number 1497202071 Active

Practice location

6560 Fannin St, 1610
Houston, TX 77030-2761

Call (713) 271-2384 Map

Fax (713) 583-2061

Mailing address

PO Box 3025
Houston, TX 77253-3025

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X14-498 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1497202071

Yonny Luis Moreno, SA-C's National Provider Identifier is 1497202071, issued on Sep 1, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Feb 7, 2017.