Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1366 | TX |
Y | 222Z00000X | Podiatrist | 1366 | TX |
NPI | 1053329904 |
---|---|
Provider Name | Dr. Christopher Brent Morgan |
First Address | Palestine, TX 75801 |
Second Address | Palestine, TX 75801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 07/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
045746701 | (05) | TX |
118711 | CHIPS (01) | TX |
87751F | BCBS (01) | TX |
U66552 | (02) |