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NPI Code Detail

MEDICARE: MARISS MORALES

MEDICARE: MARISS MORALES
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
1164X00000XLicensed Vocational Nurse350139TX

General Provider Information

NPI Number : 1649829094
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISS MORALES
Provider Business Mailing Address
First Line : 1155 DAIRY ASHFORD RD STE 560
Second Line :
City : HOUSTON
State : TX
Zip : 77079-3035
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1155 DAIRY ASHFORD RD STE 560
Second Line :
City : HOUSTON
State : TX
Zip : 77079-3035
Country : US
Telephone Number : 713-799-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2019
Last Update Date : 09/09/2019

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Directions to “ MARISS MORALES ” Practice Location

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