Provider Demographics
NPI:1255425880
Name:MORALES, FRANCISCO JAVIER (OD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:MORALES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3863 E 42ND ST
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-5947
Mailing Address - Country:US
Mailing Address - Phone:432-363-9974
Mailing Address - Fax:432-550-7089
Practice Address - Street 1:3863 E 42ND ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-5947
Practice Address - Country:US
Practice Address - Phone:432-363-9974
Practice Address - Fax:432-550-7089
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6409TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162735801Medicaid
TX200566430OtherHEALTHSMART
TX0089QTOtherBCBS
TX200566430OtherSUPERIOR VISION
TXFM26533OtherSPECTERA
TX200566430OtherLIFE RE
TX200566430OtherOPTICARE
TX200566430OtherSUPERIOR VISION
TX200566430OtherHEALTHSMART