Most Relevant Information
Provider Data
| NPI Number: | 1003341603 |
| Provider Name: | JESSICA RENEE MORALES ATC, LAT |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT 4339 |
Most Important Dates
| Enumeration Date: | 04/21/2017 |
| Last Updated: | 04/21/2017 |
Provider Practice Location
18300 SAINT JOHN DR
HOUSTON
TX
770586302
Practice Location Phone/Fax
| Phone: | 2813335503 |
| Fax: |
Provider Mailing Location
3003 MARYLAND AVE
LEAGUE CITY
TX
775738819
Provider Mailing Phone/Fax
| Phone: | 5126182141 |
| Fax: |