Provider Demographics
NPI:1447085402
Name:MORALES, IRIS (LVN, IBCLC)
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:LVN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15315 ASTER PRAIRIE WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-2163
Mailing Address - Country:US
Mailing Address - Phone:713-298-2115
Mailing Address - Fax:
Practice Address - Street 1:15315 ASTER PRAIRIE WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-2163
Practice Address - Country:US
Practice Address - Phone:713-298-2115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX345738164X00000X
TXL-136140174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No164X00000XNursing Service ProvidersLicensed Vocational Nurse