Provider Demographics
NPI:1124794342
Name:MORENO, FRANCISCA (RD)
Entity type:Individual
Prefix:
First Name:FRANCISCA
Middle Name:
Last Name:MORENO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2833 PARKVIEW LN APT 712
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-6951
Mailing Address - Country:US
Mailing Address - Phone:832-506-0832
Mailing Address - Fax:
Practice Address - Street 1:2833 PARKVIEW LN APT 712
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6951
Practice Address - Country:US
Practice Address - Phone:832-506-0832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT87229133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered