Dr Killeen Moreno, MD | |
103 W 11th St, Big Spring, TX 79720-2913 | |
(432) 517-4557 | |
(432) 400-1406 |
Full Name | Dr Killeen Moreno |
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Gender | Female |
Speciality | Family Medicine |
Location | 103 W 11th St, Big Spring, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366410672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H0653 (Texas) | Primary |
Entity Name | South Plains Rural Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295746402 PECOS PAC ID: 4880505726 Enrollment ID: O20040610000024 |
Mailing Address | Practice Location Address |
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Dr Killeen Moreno, MD 103 W 11th St, Big Spring, TX 79720-2913 Ph: (432) 517-4557 | Dr Killeen Moreno, MD 103 W 11th St, Big Spring, TX 79720-2913 Ph: (432) 517-4557 |
Cynthia Rutledge, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 S Gregg St, Big Spring, TX 79720 Phone: 432-267-5531 | |
Dr. Scott Wade Barclay, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 W 11th Pl, Suite 206, Big Spring, TX 79720 Phone: 432-264-6361 Fax: 432-268-4590 | |
Dr. David Dean Long, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 910 S Main St, Big Spring, TX 79720 Phone: 432-714-4650 Fax: 432-714-4653 | |
Shana Renay Roberson, RN BSN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 Clay Rd, Big Spring, TX 79720 Phone: 325-242-0631 | |
Lawrence Devolld, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2503 S Gregg St, Unit C, Big Spring, TX 79720 Phone: 325-658-1511 Fax: 325-481-2266 | |
Dr. Heberto Cofresi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Veterans Blvd, Big Spring, TX 79720 Phone: 432-263-7361 |