Provider Demographics
NPI:1245758085
Name:MORALES, ERNESTO FELIX (DENTIST (IN MEXICO))
Entity Type:Individual
Prefix:DR
First Name:ERNESTO
Middle Name:FELIX
Last Name:MORALES
Suffix:
Gender:M
Credentials:DENTIST (IN MEXICO)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 CANDLEWICK CT
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521
Mailing Address - Country:US
Mailing Address - Phone:956-455-1432
Mailing Address - Fax:868-813-3107
Practice Address - Street 1:CALLE PRIMERA #253 COL. JARDIN
Practice Address - Street 2:
Practice Address - City:MATAMOROS
Practice Address - State:TAMAULIPAS
Practice Address - Zip Code:87330
Practice Address - Country:MX
Practice Address - Phone:956-455-1432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ1886762122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist