Provider Demographics
NPI:1518285444
Name:MORALES, REINALDO MIGUEL II (MD)
Entity Type:Individual
Prefix:DR
First Name:REINALDO
Middle Name:MIGUEL
Last Name:MORALES
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:105 MEDICAL
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5392
Mailing Address - Country:US
Mailing Address - Phone:830-484-4606
Mailing Address - Fax:830-372-8905
Practice Address - Street 1:105 MEDICAL
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5392
Practice Address - Country:US
Practice Address - Phone:830-484-4606
Practice Address - Fax:830-372-8905
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR9112208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX392869901Medicaid