Healthcare Provider Details

I. General information

NPI: 1821232836
Provider Name (Legal Business Name): EDWIN EDGARD MORALES M.D., FACS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2009
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 MCPHERSON RD STE 331
LAREDO TX
78041-6417
US

IV. Provider business mailing address

6801 MCPHERSON RD STE 331
LAREDO TX
78041-6417
US

V. Phone/Fax

Practice location:
  • Phone: 956-462-2009
  • Fax: 956-462-1771
Mailing address:
  • Phone: 956-462-2009
  • Fax: 956-462-1771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberQ6348
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: