Provider Demographics
NPI:1588164750
Name:MORALES, MINNIE CHEN (APN)
Entity type:Individual
Prefix:
First Name:MINNIE
Middle Name:CHEN
Last Name:MORALES
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:MINNIE
Other - Middle Name:
Other - Last Name:HINES-CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:409 RUNNELS ST
Mailing Address - Street 2:
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720-2529
Mailing Address - Country:US
Mailing Address - Phone:432-264-4228
Mailing Address - Fax:432-268-9897
Practice Address - Street 1:WEST TEXAS CENTERS
Practice Address - Street 2:1501 W 11TH PLACE SUITE 104
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-4122
Practice Address - Country:US
Practice Address - Phone:432-263-0027
Practice Address - Fax:432-264-3297
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-14
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136054363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health