Doctor Name: | MARK MORGAN |
NPI Number: | 1457640526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D,O, |
License Number: | Q6541 |
Business Practice Address: | 2010 Nine Rd Brady Medical Clinic Brady, TX - 768257210 |
Business Phone Number: | 3255972114 |
Business Fax Number: | 3255972155 |
Mailing Address: | 2010 Nine Rd, Brady Medical Clinic BRADY |
State: | TX |
Postal Code: | 768257210 |
Phone Number: | 3255972114 |
Fax Number: | 3255972155 |
NPI Enumeration Date: | 03/29/2011 |
NPI Last Update Date: | 12/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 193200000X |
License Number: | Q6541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Group |
Taxonomy Classification: | Multi-Specialty |
Taxonomy Specialization: | |
Taxonomy Definition: | A business group of one or more individual practitioners, who practice with different areas of specialization. |