| NPI | 1235195330 |
|---|---|
| Doing Business As | BACILIO V. MORENO |
| Entity Type | Organization |
| Authorized Contact | BACILIO V. MORENO Licensed Prosthetist 210-593-0953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 428) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2010-12-09 |