Moreno, Karen
Moreno, Karen is an sole proprietor health care provider with primary practice located at 8402 Cross Park Dr , Austin TX 78754-4595. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as her primary health care specialty. Moreno, Karen can be contacted via phone (512) 697-8573.Contact Information
Primary practice address
8402 Cross Park Dr
Austin TX 78754-4595
Phone: (512) 697-8573
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 8050 | Texas |
Profile Details
| NPI number | 1154666147 |
|---|---|
| LBN Legal business name | Moreno, Karen |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2012 |
| Last updated | Dec 3rd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154666147 | NPPES |
| Texas | Other | 8050 | LCDC |
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