Provider Demographics
NPI:1396861324
Name:DR. CARLOS F. MORALES MD.
Entity Type:Organization
Organization Name:DR. CARLOS F. MORALES MD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:F
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-616-9999
Mailing Address - Street 1:4414 CENTERVIEW DR.
Mailing Address - Street 2:STE 168
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1404
Mailing Address - Country:US
Mailing Address - Phone:210-616-9999
Mailing Address - Fax:210-616-9998
Practice Address - Street 1:4414 CENTERVIEW DR.
Practice Address - Street 2:STE 168
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1404
Practice Address - Country:US
Practice Address - Phone:210-616-9999
Practice Address - Fax:210-616-9998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4933282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF69495Medicare UPIN