Provider Demographics
NPI:1548526056
Name:MORALES, JULIO ANTONIO JR
Entity type:Individual
Prefix:MR
First Name:JULIO
Middle Name:ANTONIO
Last Name:MORALES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1783
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75021-1783
Mailing Address - Country:US
Mailing Address - Phone:903-271-1282
Mailing Address - Fax:
Practice Address - Street 1:1306 W WOODARD ST
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-3448
Practice Address - Country:US
Practice Address - Phone:903-271-1282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
32038973551171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications