Marla Mari Moreno, B.S STA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

33099 Issued in TX

Practice address

18360 FM 493
La Blanca Medical Ctr. Ste. # 3
La Blanca, TX 78558

Phone

(956) 262-1192

Fax

(956) 262-9226

NPI assigned

Mar 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316067523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E WALNUT AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019471",
            "telephone_number": "956-605-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18360 FM 493",
            "address_2": "LA BLANCA MEDICAL CTR. STE. # 3",
            "city": "LA BLANCA",
            "state": "TX",
            "postal_code": "78558",
            "telephone_number": "956-262-1192",
            "fax_number": "956-262-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "MARLA",
        "middle_name": "MARI",
        "name_prefix": "Miss",
        "credential": "B.S STA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Blanca Children's Care Clinic PA (La Blanca Children's Care Clinic)
• La Blanca Pharmacy Inc (La Blanca Pharmacy)
• La Blanca Pharmacy Inc.
• La Blanca Pharmacy Inc.
• Edna Teresita Labbe, OTR
• Veronica Elizabeth Pena, PTA

• Speech-Language Assistant in La Blanca, TX
• Providers in La Blanca, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.