Individual provider · Type 1 NPI

Natalia Moreno, PA-C

Medical Physician Assistant · Dallas, TX

NPI number 1679112155 Active

Practice location

3600 Gaston Ave Ste 1109
Dallas, TX 75246-1811

Call (972) 817-6930 Map

Fax (972) 817-6940

Mailing address

1347 Lake Forest Dr
Grand Prairie, TX 75052-0619

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1679112155

Natalia Moreno, PA-C's National Provider Identifier is 1679112155, issued on Dec 31, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Aug 8, 2024.