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Individual

DR. FREDDIE MIGUEL MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2207 S CLEAR CREEK RD, STE 302, KILLEEN, TX 76549-4345
(254) 554-3003
(254) 554-8362
Mailing address
2207 S CLEAR CREEK RD, STE 302, KILLEEN, TX 76549-4345
(254) 554-3003
(254) 554-8362

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G6081
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
G6081
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014GN
BCBS GROUP NUMBER
TX
01
119828102
FIRSTCARE PROVIDER NUMBER
TX
01
119828103
FIRST CARE PROVIDER # PUL
TX
05
133137309
TX
05
174691901
TX
01
841618018
FEDERAL TAX ID
TX
01
8B0441
BCBS PROVIDER NUMBER
TX
01
90040
SCOTT & WHITE PROVIDER ID
TX
01
90055463
DPS REGISTRATION #
TX
01
DB7452
RAILROAD GROUP NUMBER
TX
01
G6081
STATE LICENSE
TX
01
P00125405
RAILROAD PROVIDER NUMBER
TX
Enumeration date
07/03/2006
Last updated
10/24/2023
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