Healthcare Provider Details

I. General information

NPI: 1649609637
Provider Name (Legal Business Name): COVE MEDICAL CLINIC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2013
Last Update Date: 11/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 E AVENUE D SUITE H
COPPERAS COVE TX
76522-2284
US

IV. Provider business mailing address

PO BOX 938
KILLEEN TX
76540-0938
US

V. Phone/Fax

Practice location:
  • Phone: 254-518-5511
  • Fax:
Mailing address:
  • Phone: 254-634-6999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES KYLE MORSCH
Title or Position: PHYSICIAN
Credential: MD
Phone: 254-518-5511