MEDICARE: DR. ROLANDO MORALES JR. MD

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
1	208200000X	Plastic Surgery Physician	N9390	TX
2	390200000X	Student in an Organized Health Care Education/Training Program	TL-2154	CO
3	2086S0122X	Plastic and Reconstructive Surgery Physician	BP10029129	TX

General Provider Information

NPI Number	:	1053458331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROLANDO MORALES JR. MD

Provider Business Mailing Address
First Line	:	4400 POST OAK PKWY STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-3434
Country	:	US
Telephone Number	:	713-799-9999
Fax Number	:	713-722-8998

Provider Business Practice Location Address
First Line	:	4400 POST OAK PKWY STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-3434
Country	:	US
Telephone Number	:	713-799-9999
Fax Number	:	713-722-8998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	03/20/2026

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