Provider Demographics
NPI:1649208406
Name:MORALES, DAVID E (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:MORALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4131 N CENTRAL EXPY STE 448
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2188
Mailing Address - Country:US
Mailing Address - Phone:214-827-8407
Mailing Address - Fax:214-827-5001
Practice Address - Street 1:4131 N CENTRAL EXPY STE 448
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-2188
Practice Address - Country:US
Practice Address - Phone:214-827-8407
Practice Address - Fax:214-827-5001
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2167208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142821101Medicaid
TX142821101Medicaid
H22993Medicare UPIN