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NPI Code Detail

MEDICARE: DR. AMILCAR LUIS MORALES CARDONA M.D.

MEDICARE: DR. AMILCAR LUIS MORALES CARDONA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101251307VA
2207RG0100XGastroenterology Physician0101251307VA
3207RI0008XHepatology Physician0101251307VA
4207RT0003XTransplant Hepatology PhysicianS4824TX
5207RG0100XGastroenterology PhysicianS4824TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2408506002OTHERTXCSHCN

General Provider Information

NPI Number : 1306166483
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMILCAR LUIS MORALES CARDONA M.D.
Provider Business Mailing Address
First Line : PO BOX 35629
Second Line :
City : DALLAS
State : TX
Zip : 75235-0629
Country : US
Telephone Number : 214-424-2213
Fax Number : 214-231-2159
Provider Business Practice Location Address
First Line : 6317 HARRIS PKWY STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4258
Country : US
Telephone Number : 817-361-6900
Fax Number : 817-522-1968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2010
Last Update Date : 04/13/2021

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