Healthcare Provider Details

I. General information

NPI: 1942232053
Provider Name (Legal Business Name): HECTOR MORALES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 03/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 SPICEWOOD SPRINGS RD SUITE 201
AUSTIN TX
78759-8965
US

IV. Provider business mailing address

PO BOX 678172
DALLAS TX
75267-8172
US

V. Phone/Fax

Practice location:
  • Phone: 512-477-3778
  • Fax: 512-477-3626
Mailing address:
  • Phone: 512-477-3778
  • Fax: 512-477-3626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberD7859
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: