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NPI Code Detail

MEDICARE: DR. VALENTIN IGNACIO MORENO JR. DC

MEDICARE: DR. VALENTIN IGNACIO MORENO JR. DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor15611TX

General Provider Information

NPI Number : 1265125736
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VALENTIN IGNACIO MORENO JR. DC
Provider Business Mailing Address
First Line : 1911 KNIGHTSBRIDGE RD APT 6103
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75234-1507
Country : US
Telephone Number : 956-624-2774
Fax Number :
Provider Business Practice Location Address
First Line : 2761 E TRINITY MILLS RD STE 100
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-3507
Country : US
Telephone Number : 956-624-2774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2023
Last Update Date : 05/31/2023

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