Healthcare Provider Details

I. General information

NPI: 1164326112
Provider Name (Legal Business Name): RONALD G. MORTON MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 PEGUES PL
LONGVIEW TX
75601-4027
US

IV. Provider business mailing address

901 PEGUES PL
LONGVIEW TX
75601-4027
US

V. Phone/Fax

Practice location:
  • Phone: 903-212-4399
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: RONALD G MORTON
Title or Position: PHYSICIAN
Credential: MD
Phone: 903-212-4399