Provider Demographics
NPI:1699702563
Name:MORALES, CARMELA P (MD)
Entity type:Individual
Prefix:
First Name:CARMELA
Middle Name:P
Last Name:MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 CURIE DRIVE
Mailing Address - Street 2:SUITE 4800
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2992
Mailing Address - Country:US
Mailing Address - Phone:915-351-7000
Mailing Address - Fax:915-351-7004
Practice Address - Street 1:1700 CURIE DRIVE
Practice Address - Street 2:SUITE 4800
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2992
Practice Address - Country:US
Practice Address - Phone:915-351-7000
Practice Address - Fax:915-351-7004
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2011-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK7458207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH74967Medicare UPIN