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NPI Code Detail

MEDICARE: ALLEN ROSS MORTON M.D.

MEDICARE:   ALLEN ROSS MORTON  M.D.
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
1207L00000XAnesthesiology PhysicianJ5843TX

General Provider Information

NPI Number : 1164499018
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLEN ROSS MORTON M.D.
Provider Business Mailing Address
First Line : 703 E MARSHALL AVE
Second Line : #4002
City : LONGVIEW
State : TX
Zip : 75601-5500
Country : US
Telephone Number : 903-247-2050
Fax Number : 903-247-2054
Provider Business Practice Location Address
First Line : 703 E MARSHALL AVE
Second Line : #4002
City : LONGVIEW
State : TX
Zip : 75601-5500
Country : US
Telephone Number : 903-247-2050
Fax Number : 903-247-2054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/08/2007

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Directions to “ ALLEN ROSS MORTON M.D.” Practice Location

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