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General NPI Number Information
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NPI Number | 1548679723
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Entity Type | Individual
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Provider Name | ANTHONY MORINA RRT
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Gender | Male
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 9441 LBJ FWY SUITE 602
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City | DALLAS
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State | TX
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Zip | 75243-4545
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Country | US
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Telephone | 866-474-6677
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Fax |
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Provider Business Mailing Address
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Address Line | 4330 S 41ST ST APT 23
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City | TACOMA
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State | WA
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Zip | 98409-2109
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Country | US
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Telephone | 602-320-4916
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | LR 60305039
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number | LR 60305039
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2279E0002X
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Taxonomy Name | Emergency Care Registered Respiratory Therapist
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License Number | LR 60305039
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License Number State | WA
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