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Individual
DR. J MARK MORALES
Active
Individual
DR. J MARK MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J54178
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141578801
—
TX
Enumeration date
05/12/2006
Last updated
01/31/2013
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