Basic Information
| Provider Information | |||||||||
| NPI: | 1609320068 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORCHAT | ||||||||
| FirstName: | KATARZYNA | ||||||||
| MiddleName: | MALGORZATA | ||||||||
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| Credential: | D.D.S | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5250 BLANCO RD | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782167017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2103493368 | ||||||||
| FaxNumber: | 2103492473 | ||||||||
| Practice Location | |||||||||
| Address1: | 5215 DE ZAVALA RD STE 103 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782492985 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2107400645 | ||||||||
| FaxNumber: | 2107574067 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2016 | ||||||||
| LastUpdateDate: | 01/23/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 32270 | TX | Y | Dental Providers | Dentist | General Practice |
No ID Information.