MEDICARE: MR. DAN MORGAN CPO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224P00000X	Prosthetist	67	TX

General Provider Information

NPI Number	:	1003011024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAN MORGAN CPO

Provider Business Mailing Address
First Line	:	PO BOX 183
Second Line	:
City	:	RIO FRIO
State	:	TX
Zip	:	78879-0183
Country	:	US
Telephone Number	:	830-232-5815
Fax Number	:

Provider Business Practice Location Address
First Line	:	12926 WILLOW CHASE DR
Second Line	:	PEDIATRIC PROSTHETICS INC
City	:	HOUSTON
State	:	TX
Zip	:	77070-5641
Country	:	US
Telephone Number	:	281-847-1108
Fax Number	:	281-897-8462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	07/08/2007

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