Provider Demographics
NPI:1790934545
Name:MORALES, FANNY ANDREA (MD)
Entity Type:Individual
Prefix:
First Name:FANNY
Middle Name:ANDREA
Last Name:MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FANNY
Other - Middle Name:ANDREA
Other - Last Name:MORALES HYDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1004 SOUTH ROCK STREET
Mailing Address - Street 2:WESTLAKE ANESTHESIA GROUP, PA
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626
Mailing Address - Country:US
Mailing Address - Phone:512-279-0348
Mailing Address - Fax:512-371-8788
Practice Address - Street 1:5656 BEE CAVES RD
Practice Address - Street 2:SUITE M-302
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5280
Practice Address - Country:US
Practice Address - Phone:512-697-3502
Practice Address - Fax:512-697-3501
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0981207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology