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Active NPI 1205281169 Individual Practitioner Male Practitioner

Bacilio Moreno , C, P

Prosthetist • Leon Valley, TX

Professional Overview & Biography Verified Profile Summary

Bacilio Moreno, C, P is a registered healthcare professional specializing in Prosthetist in Leon Valley, TX. Practice services are available at 5309 WURZBACH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5309 Wurzbach Rd

Leon Valley, TX 782382431

Telephone 2104659113
Fax 2109328015

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Leon Valley, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Leon Valley, TX (259 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License TX 79

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2016

Registered at 5309 WURZBACH RD, LEON VALLEY, TX 782382431 (Tel: 2104659113)

📍
Updated Business Mailing Address April 28, 2016

Registered at 5309 WURZBACH RD, LEON VALLEY, TX 782382431 (Tel: 2104659113)

👤
Provider Name / Credentials Updated April 28, 2016

Recorded as BACILIO MORENO, C,P

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2016

Prosthetist (License #79 in TX)

🟢
Initial NPI Registration & Enumeration April 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205281169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2016
Last Update: April 28, 2016
Sole Proprietor: Yes

Mailing Address

5309 Wurzbach Rd

Leon Valley, TX 782382431

Phone: 2104659113

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.