MEDICARE: LUIS O. MORALES M.D.

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	207V00000X	Obstetrics & Gynecology Physician	K0944	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659358406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS O. MORALES M.D.

Provider Business Mailing Address
First Line	:	3066 E COMMERCE ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78220-1013
Country	:	US
Telephone Number	:	210-233-7000
Fax Number	:	210-277-6387

Provider Business Practice Location Address
First Line	:	1200 BROOKLYN AVE STE 365
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-4810
Country	:	US
Telephone Number	:	210-255-5930
Fax Number	:	210-476-0246

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	07/21/2022

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Directions to “ LUIS O. MORALES M.D.” Practice Location

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