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NPI Code Detail

MEDICARE: DR. PHYLLIS JEAN MORGAN D.D.S.

MEDICARE:  DR. PHYLLIS JEAN MORGAN  D.D.S.
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
11223G0001XGeneral Practice Dentistry17041TX

General Provider Information

NPI Number : 1871638205
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHYLLIS JEAN MORGAN D.D.S.
Provider Business Mailing Address
First Line : 1003 ANDOVER DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-2269
Country : US
Telephone Number : 713-436-9967
Fax Number :
Provider Business Practice Location Address
First Line : 9231 STELLA LINK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77025-3902
Country : US
Telephone Number : 713-668-4800
Fax Number : 713-668-5004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 07/08/2007

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Directions to “ DR. PHYLLIS JEAN MORGAN D.D.S.” Practice Location

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