Provider Demographics
NPI:1053458331
Name:MORALES, ROLANDO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:
Last Name:MORALES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12727 KIMBERLEY LN
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4047
Mailing Address - Country:US
Mailing Address - Phone:713-799-9999
Mailing Address - Fax:713-722-8998
Practice Address - Street 1:12727 KIMBERLEY LN
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4047
Practice Address - Country:US
Practice Address - Phone:713-799-9999
Practice Address - Fax:713-722-8998
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP100291292086S0122X
COTL-2154390200000X
TXN9390208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery