Provider Demographics
NPI:1386441384
Name:PESCADOR MORALES, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:PESCADOR MORALES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 E SOUTH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-3511
Mailing Address - Country:US
Mailing Address - Phone:346-253-6875
Mailing Address - Fax:
Practice Address - Street 1:209 E SOUTH ST STE 2
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-3511
Practice Address - Country:US
Practice Address - Phone:346-253-6875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT136930225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist