Provider Demographics
NPI:1295415461
Name:MORALEZ, SHERI KATHLEEN (RN, CCM)
Entity type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:KATHLEEN
Last Name:MORALEZ
Suffix:
Gender:F
Credentials:RN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12337 JONES RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4844
Mailing Address - Country:US
Mailing Address - Phone:806-252-6736
Mailing Address - Fax:877-215-5015
Practice Address - Street 1:13604 AVENUE W
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1282
Practice Address - Country:US
Practice Address - Phone:806-239-0718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX734772163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health