=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821232836
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EDWIN EDGARD MORALES M.D., FACS
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2009
-----------------------------------------------------
Last Update Date | 11/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6801 MCPHERSON RD STE 331
-----------------------------------------------------
City | LAREDO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78041-6417
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-462-2009
-----------------------------------------------------
Fax | 956-462-1771
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6801 MCPHERSON RD STE 331
-----------------------------------------------------
City | LAREDO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78041-6417
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-462-2009
-----------------------------------------------------
Fax | 956-462-1771
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208800000X
-----------------------------------------------------
Taxonomy Name | Urology Physician
-----------------------------------------------------
License Number | Q6348
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------