Individual
GUILLERMO MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2310 INTERSTATE 20 W, SUITE 204, ARLINGTON, TX 76017-1677
(817) 466-7276
(817) 466-7286
Mailing address
2310 INTERSTATE 20 W, SUITE 204, ARLINGTON, TX 76017-1677
(817) 466-7276
(817) 466-7286
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1084028
TX
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T4086
BCBS
TX
Enumeration date
08/08/2006
Last updated
08/28/2018
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