Provider Demographics
NPI:1912943341
Name:MORENO, FRANCISCO E (MD,PA)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:E
Last Name:MORENO
Suffix:
Gender:M
Credentials:MD,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23920 KATY FREEWAY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494
Mailing Address - Country:US
Mailing Address - Phone:281-392-8920
Mailing Address - Fax:281-392-6950
Practice Address - Street 1:23920 KATY FREEWAY
Practice Address - Street 2:SUITE 310
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494
Practice Address - Country:US
Practice Address - Phone:281-392-8920
Practice Address - Fax:281-392-6950
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1838208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098796801Medicaid
8G8360OtherBLUE CROSS/BLUE SHIELD
8A1839Medicare ID - Type Unspecified
TX098796801Medicaid