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NPI Code Detail

MEDICARE: DR. TRACY RENEE' MORALES DDS

MEDICARE:  DR. TRACY RENEE' MORALES  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist28929TX

General Provider Information

NPI Number : 1003254814
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRACY RENEE' MORALES DDS
Provider Business Mailing Address
First Line : 310 W 19TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-3906
Country : US
Telephone Number : 713-869-4085
Fax Number : 713-869-6414
Provider Business Practice Location Address
First Line : 310 W 19TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-3906
Country : US
Telephone Number : 713-869-4085
Fax Number : 713-869-6414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2013
Last Update Date : 12/23/2015

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Directions to “ DR. TRACY RENEE' MORALES DDS” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.