Individual
KRISE P MORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
111 PARKS VILLAGE DR, ODESSA, TX 79765-8987
(432) 563-5707
Mailing address
2205 SALINAS AVE, ODESSA, TX 79763-2318
(432) 895-4581
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2108201
TX
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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