Provider Demographics
NPI:1780839621
Name:MORENO-YANEZ INC
Entity Type:Organization
Organization Name:MORENO-YANEZ INC
Other - Org Name:ALAMO MEDICAL DAY/NIGHT CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:956-212-8410
Mailing Address - Street 1:115 S. ALAMO RD
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516
Mailing Address - Country:US
Mailing Address - Phone:956-212-8410
Mailing Address - Fax:956-217-7099
Practice Address - Street 1:115 SOUTH ALAMO RD
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516
Practice Address - Country:US
Practice Address - Phone:956-212-8410
Practice Address - Fax:956-217-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03364261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center