Provider Demographics
NPI:1043567696
Name:MORAH, VICTOR (RN)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:
Last Name:MORAH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12822 WAYBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2543
Mailing Address - Country:US
Mailing Address - Phone:281-277-9185
Mailing Address - Fax:
Practice Address - Street 1:12822 WAYBRIDGE STREET
Practice Address - Street 2:
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2543
Practice Address - Country:US
Practice Address - Phone:282-277-9185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137291363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology