Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | P0447 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | P0447 | TX |
NPI | 1215167549 |
---|---|
Provider Name | Jamie Larsen Morgan |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2009 |
Last Update Date | 11/01/2019 |