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NPI Code Detail

MEDICARE: CHRISTINE LEBLANC MORENO-ORTA MD

MEDICARE: CHRISTINE LEBLANC MORENO-ORTA 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
1390200000XStudent in an Organized Health Care Education/Training ProgramBP1-0040990TX
2207Q00000XFamily Medicine PhysicianP6210TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659665297
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE LEBLANC MORENO-ORTA MD
Provider Business Mailing Address
First Line : 11130 CHRISTUS HILLS
Second Line : 2ND FLOOR, SUITE 201
City : SAN ANTONIO
State : TX
Zip : 78251
Country : US
Telephone Number : 210-703-9001
Fax Number : 210-703-9155
Provider Business Practice Location Address
First Line : 11130 CHRISTUS HILLS
Second Line : MEDICAL PLAZA 3, 3RD FLOOR
City : SAN ANTONIO
State : TX
Zip : 78251-3585
Country : US
Telephone Number : 210-703-9001
Fax Number : 210-703-9155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2011
Last Update Date : 09/25/2018

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