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NPI Code Detail

MEDICARE: MS. REBECCA MORALES RDH

MEDICARE: MS. REBECCA MORALES RDH
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
1124Q00000XDental Hygienist9728TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19728OTHERTXTEXAS LICENSE

General Provider Information

NPI Number : 1144240847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA MORALES RDH
Provider Business Mailing Address
First Line : 2007 S ZAPATA HWY
Second Line :
City : LAREDO
State : TX
Zip : 78046-6510
Country : US
Telephone Number : 956-795-8101
Fax Number : 956-795-8195
Provider Business Practice Location Address
First Line : 2007 S ZAPATA HWY
Second Line :
City : LAREDO
State : TX
Zip : 78046-6510
Country : US
Telephone Number : 956-795-8101
Fax Number : 956-795-8195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/08/2007

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