Individual
DR. AMILCAR LUIS MORALES CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6317 HARRIS PKWY STE 300, FORT WORTH, TX 76132-4258
(817) 361-6900
(817) 522-1968
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2213
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101251307
VA
207RG0100X
Gastroenterology Physician
0101251307
VA
207RG0100X
Gastroenterology Physician
Primary
S4824
TX
207RI0008X
Hepatology Physician
0101251307
VA
207RT0003X
Transplant Hepatology Physician
S4824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408506001
—
TX
01
—
408506002
CSHCN
TX
Enumeration date
06/10/2010
Last updated
04/13/2021
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