MEDICARE: REINALDO 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	207P00000X	Emergency Medicine Physician	N4597	TX
2	207Q00000X	Family Medicine Physician	N4597	TX

General Provider Information

NPI Number	:	1669496485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REINALDO MORALES M.D.

Provider Business Mailing Address
First Line	:	314 E NAKOMA ST STE A
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2729
Country	:	US
Telephone Number	:	210-338-0530
Fax Number	:

Provider Business Practice Location Address
First Line	:	314 E NAKOMA ST STE A
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2729
Country	:	US
Telephone Number	:	210-338-0530
Fax Number	:	210-338-8510

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/02/2013

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