Provider Demographics
NPI:1679668248
Name:FRANCISCO JAVIER MORALES, O.D., P.C.
Entity type:Organization
Organization Name:FRANCISCO JAVIER MORALES, O.D., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:432-523-2027
Mailing Address - Street 1:1605 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ANDREWS
Mailing Address - State:TX
Mailing Address - Zip Code:79714-6039
Mailing Address - Country:US
Mailing Address - Phone:432-523-2027
Mailing Address - Fax:432-523-2028
Practice Address - Street 1:1605 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:TX
Practice Address - Zip Code:79714-6039
Practice Address - Country:US
Practice Address - Phone:432-523-2027
Practice Address - Fax:432-523-2028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6409TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
82218QOtherBCBS
82218QOtherBCBS
TX00115ZMedicare ID - Type UnspecifiedMEDICARE PART B