Provider Demographics
NPI:1841434958
Name:MORALES, VINCENT P (DC)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:P
Last Name:MORALES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 S.W. MILITARY DR.
Mailing Address - Street 2:SUITE P
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1682
Mailing Address - Country:US
Mailing Address - Phone:210-932-0507
Mailing Address - Fax:210-932-0514
Practice Address - Street 1:660 S.W. MILITARY DR.
Practice Address - Street 2:SUITE P
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1682
Practice Address - Country:US
Practice Address - Phone:210-932-0507
Practice Address - Fax:210-932-0514
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor