Healthcare Provider Details

I. General information

NPI: 1518521467
Provider Name (Legal Business Name): MATT MORGAN, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2019
Last Update Date: 04/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7945 W SAHARA AVE STE 108
LAS VEGAS NV
89117-7908
US

IV. Provider business mailing address

7945 W SAHARA AVE STE 108
LAS VEGAS NV
89117-7908
US

V. Phone/Fax

Practice location:
  • Phone: 702-935-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MATT MORGAN
Title or Position: DIRECTOR
Credential: MD
Phone: 469-667-2954