John Moreno, MD | |
1737 Briarcrest Dr, Suite 14, Bryan, TX 77802-2769 | |
(979) 776-4777 | |
(979) 776-0588 |
Full Name | John Moreno |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1737 Briarcrest Dr, Bryan, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033220330 | NPI | - | NPPES |
1031999-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | H5675 (Texas) | Primary |
Entity Name | Austin Anesthesiology Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086 |
Mailing Address | Practice Location Address |
---|---|
John Moreno, MD 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802-2769 Ph: (979) 776-4777 | John Moreno, MD 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802-2769 Ph: (979) 776-4777 |
Mark H Brauer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 | |
Patrick Ryan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 | |
Sjoerd Adams, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 | |
Emad Hanna, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 | |
Deena Greer, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 | |
Patrick Clegg, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802 Phone: 979-776-4777 Fax: 979-776-0588 |