Provider Demographics
NPI:1952442808
Name:MORENO, ARMIDA (MD)
Entity Type:Individual
Prefix:
First Name:ARMIDA
Middle Name:
Last Name:MORENO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1810 MURCHISON DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2930
Mailing Address - Country:US
Mailing Address - Phone:915-533-6100
Mailing Address - Fax:915-533-6133
Practice Address - Street 1:1810 MURCHISON DR
Practice Address - Street 2:SUITE 110
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2930
Practice Address - Country:US
Practice Address - Phone:915-533-6100
Practice Address - Fax:915-533-6133
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2012-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN6508207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology