MEDICARE: JOSEPH MORGAN D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	1970	TX

General Provider Information

NPI Number	:	1700175775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH MORGAN D.P.M.

Provider Business Mailing Address
First Line	:	8135 FOREST LN # 515057
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2472
Country	:	US
Telephone Number	:	469-850-5760
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 E 6TH ST STE 104
Second Line	:
City	:	ODESSA
State	:	TX
Zip	:	79761-4537
Country	:	US
Telephone Number	:	432-888-7149
Fax Number	:

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

Provider Enumeration Date	:	03/30/2011
Last Update Date	:	04/17/2026

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