MEDICARE: SYBIL ROBERTS MORGAN 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
1	207Q00000X	Family Medicine Physician	D8359	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00P402	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1982704458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYBIL ROBERTS MORGAN M.D.

Provider Business Mailing Address
First Line	:	8038 WURZBACH RD.
Second Line	:	SUITE 280
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3812
Country	:	US
Telephone Number	:	210-615-7006
Fax Number	:

Provider Business Practice Location Address
First Line	:	8038 WURZBACH RD.
Second Line	:	SUITE 280
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3812
Country	:	US
Telephone Number	:	210-615-7006
Fax Number	:

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	07/15/2007

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