Organization
HOUSTON LUNG CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODRIGO E MORALES MD (OWNER/PHYSICIAN)
(478) 333-2522
Entity
Organization
Contact information
Practice address
92 TOMMY STALNAKER DR, WARNER ROBINS, GA 31088-9179
(478) 333-2522
(478) 333-3160
Mailing address
92 TOMMY STALNAKER DR, WARNER ROBINS, GA 31088-9179
(478) 333-2522
(478) 333-3160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
052467
GA
207RP1001X
Pulmonary Disease Physician
052467
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
052467
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915967282C
—
GA
Enumeration date
02/11/2015
Last updated
02/11/2015
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