Healthcare Provider Details

I. General information

NPI: 1801981956
Provider Name (Legal Business Name): THANE MORGAN, M.D.P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S. COULTER BUILDING B
AMARILLO TX
79106-0703
US

IV. Provider business mailing address

1600 S. COULTER BUILDING B
AMARILLO TX
79106-0703
US

V. Phone/Fax

Practice location:
  • Phone: 806-355-4900
  • Fax: 806-355-4903
Mailing address:
  • Phone: 806-355-4900
  • Fax: 806-355-4903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberK1264
License Number StateTX

VIII. Authorized Official

Name: MR. RONALD THANE MORGAN
Title or Position: OWNER
Credential: MD
Phone: 806-468-4910