Provider Demographics
NPI:1356016042
Name:MORAN, ROBERT C (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:MORAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18511 HIGHLANDER MEDICS STREET WBAMC,
Mailing Address - Street 2:MCHM-DOS-GSR
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79906
Mailing Address - Country:US
Mailing Address - Phone:915-742-0730
Mailing Address - Fax:915-742-7889
Practice Address - Street 1:18511 HIGHLANDER MEDICS STREET WBAMC,
Practice Address - Street 2:MCHM-DOS-GSR
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79906
Practice Address - Country:US
Practice Address - Phone:915-742-0730
Practice Address - Fax:915-742-7889
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2023-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE35063208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice