Healthcare Provider Details

I. General information

NPI: 1598426892
Provider Name (Legal Business Name): MORGAN BETTIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN ARTHUR PA-C

II. Dates (important events)

Enumeration Date: 01/07/2022
Last Update Date: 10/04/2025
Certification Date: 10/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 RICHMOND AVE STE 101
HOUSTON TX
77082-2420
US

IV. Provider business mailing address

3530 NAPAVINE LN
HOUSTON TX
77008-4597
US

V. Phone/Fax

Practice location:
  • Phone: 281-741-5910
  • Fax: 713-583-1113
Mailing address:
  • Phone: 281-961-0812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA15022
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: