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Individual

SAMUEL MORALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6534 WAGNER WAY, SAN ANTONIO, TX 78256
(210) 393-6829
(210) 698-9386
Mailing address
6534 WAGNER WAY, SAN ANTONIO, TX 78256-2004
(210) 393-6829
(210) 698-9386

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H9550
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116185302
CSHCN
UT
05
116185303
TX
Enumeration date
08/10/2006
Last updated
07/13/2011
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