MEDICARE: DR. ROBERT P MORALES 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
1	174400000X	Specialist	E4545	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00184518	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	X0027046	OTHER	TX	DPS LICENSE
2	00BJ45	OTHER	TX	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4295761	OTHER	TX	AETNA
6	E4545	OTHER	TX	MEDICAL LICENSE

General Provider Information

NPI Number	:	1407850829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT P MORALES M.D.

Provider Business Mailing Address
First Line	:	5814 HOLLYHOCK RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-2001
Country	:	US
Telephone Number	:	210-691-1775
Fax Number	:

Provider Business Practice Location Address
First Line	:	8811 VILLAGE DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5415
Country	:	US
Telephone Number	:	210-297-2520
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	03/07/2023

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Directions to “ DR. ROBERT P MORALES M.D.” Practice Location

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