Provider Demographics
NPI:1740448877
Name:MORALES, JOE (BC-HIS)
Entity type:Individual
Prefix:MR
First Name:JOE
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 WESTPARK WAY
Mailing Address - Street 2:STE 221
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040
Mailing Address - Country:US
Mailing Address - Phone:469-661-3200
Mailing Address - Fax:469-649-9600
Practice Address - Street 1:350 WESTPARK WAY
Practice Address - Street 2:STE 221
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040
Practice Address - Country:US
Practice Address - Phone:469-661-3200
Practice Address - Fax:469-649-9600
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50644237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist