Provider Demographics
NPI:1659625697
Name:MORALES, MILTON DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:DAVID
Last Name:MORALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:125 WATER PARK RD
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676-5833
Mailing Address - Country:US
Mailing Address - Phone:512-847-0629
Mailing Address - Fax:512-847-6930
Practice Address - Street 1:125 WATER PARK RD
Practice Address - Street 2:
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-5833
Practice Address - Country:US
Practice Address - Phone:512-847-0629
Practice Address - Fax:512-847-6930
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXD5110207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine