Healthcare Provider Details

I. General information

NPI: 1124965074
Provider Name (Legal Business Name): AMBER DAWNN MORAN PHARMD, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E PLANO PKWY STE 160
PLANO TX
75074-6797
US

IV. Provider business mailing address

301 N WASHINGTON AVE
DALLAS TX
75246-1754
US

V. Phone/Fax

Practice location:
  • Phone: 469-800-6230
  • Fax:
Mailing address:
  • Phone: 469-800-6230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number75409
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: