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NPI Code Detail

MEDICARE: VANESSA MORENO MD

MEDICARE: VANESSA MORENO MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician48969TX

General Provider Information

NPI Number : 1659626067
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA MORENO MD
Provider Business Mailing Address
First Line : PO BOX 4701
Second Line :
City : HOUSTON
State : TX
Zip : 77210-4701
Country : US
Telephone Number : 800-288-8325
Fax Number : 419-866-5453
Provider Business Practice Location Address
First Line : 6565 FANNIN ST # B154
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2703
Country : US
Telephone Number : 346-238-5867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2012
Last Update Date : 02/23/2026

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