Healthcare Provider Details

I. General information

NPI: 1760454003
Provider Name (Legal Business Name): ADAM ALEXANDER MORGAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 10/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13737 NOEL RD STE 1600
DALLAS TX
75240-1374
US

IV. Provider business mailing address

13737 NOEL RD STE 1600
DALLAS TX
75240-1374
US

V. Phone/Fax

Practice location:
  • Phone: 303-933-8270
  • Fax: 214-712-2002
Mailing address:
  • Phone: 303-933-8270
  • Fax: 214-712-2002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberD0058945
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: