1427024298 NPI number — DR. STEVEN ANTHONY MORALEZ M.D.

Table of content: DR. STEVEN ANTHONY MORALEZ M.D. (NPI 1427024298)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427024298 NPI number — DR. STEVEN ANTHONY MORALEZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORALEZ
Provider First Name:
STEVEN
Provider Middle Name:
ANTHONY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427024298
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6243 IH 10 WEST
Provider Second Line Business Mailing Address:
SUITE 480
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78201-2089
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-731-4800
Provider Business Mailing Address Fax Number:
210-731-4810

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
810 SE MILITARY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78214-2823
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-921-4200
Provider Business Practice Location Address Fax Number:
210-922-8181
Provider Enumeration Date:
02/23/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  G2192 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)