Provider Demographics
NPI: | 1477989812 |
---|---|
Name: | MORALES FIRST ASSIST INC |
Entity Type: | Organization |
Organization Name: | MORALES FIRST ASSIST INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | BILLING SUPERVISOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BETH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | RICHARDSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | CPC |
Authorized Official - Phone: | 214-472-8123 |
Mailing Address - Street 1: | 4401 COIT RD. STE 407 |
Mailing Address - Street 2: | |
Mailing Address - City: | FRISCO |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75035 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 214-472-8123 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3420 LEIGH CT |
Practice Address - Street 2: | |
Practice Address - City: | PLANO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75025 |
Practice Address - Country: | US |
Practice Address - Phone: | 405-694-8795 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-09-17 |
Last Update Date: | 2015-05-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 690188 | 163WR0006X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 163WR0006X | Nursing Service Providers | Registered Nurse | Registered Nurse First Assistant | Group - Single Specialty |