Healthcare Provider Details

I. General information

NPI: 1477989812
Provider Name (Legal Business Name): MORALES FIRST ASSIST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2013
Last Update Date: 05/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 LEIGH CT
PLANO TX
75025
US

IV. Provider business mailing address

4401 COIT RD. STE 407
FRISCO TX
75035
US

V. Phone/Fax

Practice location:
  • Phone: 405-694-8795
  • Fax:
Mailing address:
  • Phone: 214-472-8123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number690188
License Number StateTX

VIII. Authorized Official

Name: BETH RICHARDSON
Title or Position: BILLING SUPERVISOR
Credential: CPC
Phone: 214-472-8123