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NPI Code Detail

MEDICARE: HECTOR MORALES

MEDICARE:   HECTOR  MORALES
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
1225200000XPhysical Therapy Assistant2093447TX

General Provider Information

NPI Number : 1083194047
Entity Type Code : Individual
Provider Name (Legal Business Name) : HECTOR MORALES
Provider Business Mailing Address
First Line : 524 VILLAGE RD
Second Line :
City : PORT LAVACA
State : TX
Zip : 77979-2380
Country : US
Telephone Number : 361-552-3741
Fax Number :
Provider Business Practice Location Address
First Line : 524 VILLAGE RD
Second Line :
City : PORT LAVACA
State : TX
Zip : 77979-2380
Country : US
Telephone Number : 361-552-3741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/20/2018

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Directions to “ HECTOR MORALES ” Practice Location

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