MEDICARE: PAUL A MORGAN PAC

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	363AS0400X	Surgical Physician Assistant	393	NV
2	363A00000X	Physician Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871571018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL A MORGAN PAC

Provider Business Mailing Address
First Line	:	7455 W WASHINGTON AVE STE 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-4356
Country	:	US
Telephone Number	:	702-878-0393
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 WIGWAM PKWY STE 330
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-8195
Country	:	US
Telephone Number	:	702-878-0393
Fax Number	:	702-258-3777

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

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	01/10/2023

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Directions to “ PAUL A MORGAN PAC” Practice Location

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