MEDICARE: PAMELA DAWN MORGAN NP

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	363LF0000X	Family Nurse Practitioner	540686	TX

General Provider Information

NPI Number	:	1114938370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA DAWN MORGAN NP

Provider Business Mailing Address
First Line	:	3023 MARINA BAY DR STE 103
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2882
Country	:	US
Telephone Number	:	281-538-1003
Fax Number	:	281-535-2240

Provider Business Practice Location Address
First Line	:	3023 MARINA BAY DR STE 103
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2882
Country	:	US
Telephone Number	:	281-538-1003
Fax Number	:	281-535-2240

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	04/04/2019

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