Provider Demographics
NPI:1770599896
Name:MORALES, RICHARD ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ANTHONY
Last Name:MORALES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2944 S MASON RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1763
Mailing Address - Country:US
Mailing Address - Phone:281-358-8585
Mailing Address - Fax:281-358-1982
Practice Address - Street 1:2944 S MASON RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1763
Practice Address - Country:US
Practice Address - Phone:281-358-8585
Practice Address - Fax:281-358-1982
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12866111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0008232142OtherBLUE CROSS BLUE SHIELD
IL709508OtherHEALTH LINK
IL211721Medicare ID - Type Unspecified