MEDICARE: DR. CARLOS F. MORALES 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	282NC0060X	Critical Access Hospital	J4933	TX

General Provider Information

NPI Number	:	1396861324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. CARLOS F. MORALES MD.

Provider Business Mailing Address
First Line	:	4414 CENTERVIEW DR.
Second Line	:	STE 168
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1404
Country	:	US
Telephone Number	:	210-616-9999
Fax Number	:	210-616-9998

Provider Business Practice Location Address
First Line	:	4414 CENTERVIEW DR.
Second Line	:	STE 168
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1404
Country	:	US
Telephone Number	:	210-616-9999
Fax Number	:	210-616-9998

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. CARLOS F MORALES
Credential	:	M.D.
Telephone Number	:	210-616-9999

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	03/25/2011

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