Individual
TANIA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
611 N BRYAN RD, MISSION, TX 78572
(956) 580-3303
(956) 580-1505
Mailing address
611 N BRYAN RD, MISSION, TX 78572-6285
(956) 580-3303
(956) 580-1505
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386140301
—
TX
01
—
680580
MEDICARE
TX
01
—
AP134899
AP134899
TX
Enumeration date
08/18/2017
Last updated
09/04/2018
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