Provider Demographics
NPI:1528859675
Name:MORALES, CHASE
Entity type:Individual
Prefix:
First Name:CHASE
Middle Name:
Last Name:MORALES
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 EDDIE CT
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-9050
Mailing Address - Country:US
Mailing Address - Phone:956-466-4901
Mailing Address - Fax:
Practice Address - Street 1:2105 EDDIE CT
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-9050
Practice Address - Country:US
Practice Address - Phone:956-466-4901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer