Individual provider · Type 1 NPI

Mark Moreno

Psychiatric/Mental Health Nurse Practitioner · Austin, TX

NPI number 1699656751 Active

Practice location

13800 N FM 620 Rd
Austin, TX 78717-1126

Call (520) 612-0466 Map

Fax (520) 372-0987

Mailing address

PO Box 65985
Tucson, AZ 85728-5985

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X1166223 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1699656751

Mark Moreno's National Provider Identifier is 1699656751, issued on Sep 8, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Austin, TX. The record was last updated on Sep 11, 2025.