MEDICARE: DR. ROSALYN MICHELLE MORRELL MD

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	2085R0001X	Radiation Oncology Physician	33268	AZ
2	2085R0001X	Radiation Oncology Physician	N6934	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33268	OTHER	AZ	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700871860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSALYN MICHELLE MORRELL MD

Provider Business Mailing Address
First Line	:	8900 WILSHIRE BLVD
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1958
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:	972-234-0813

Provider Business Practice Location Address
First Line	:	909 FROSTWOOD DR STE 152
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2308
Country	:	US
Telephone Number	:	713-242-3500
Fax Number	:	713-242-3514

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	03/07/2023

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