MEDICARE: JOHN M MORROW MD

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
1	207Q00000X	Family Medicine Physician	G3624	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1609882950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN M MORROW MD

Provider Business Mailing Address
First Line	:	PO BOX 26726
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78755-0726
Country	:	US
Telephone Number	:	512-407-8686
Fax Number	:	512-421-4489

Provider Business Practice Location Address
First Line	:	10401 ANDERSON MILL #110B
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-2579
Country	:	US
Telephone Number	:	512-250-5571
Fax Number	:	512-250-8991

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	01/12/2011

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