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NPI Code Detail

MEDICARE: DR. MARK MORGAN M.D.

MEDICARE: DR. MARK MORGAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianK5357TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00250668OTHERTXRR/MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
384007KOTHERTXBLUE SHIELD

General Provider Information

NPI Number : 1316908395
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK MORGAN M.D.
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1815 S 31ST ST
Second Line :
City : TEMPLE
State : TX
Zip : 76504-6728
Country : US
Telephone Number : 254-724-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2006
Last Update Date : 01/26/2022

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Directions to “ DR. MARK MORGAN M.D.” Practice Location

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