Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1205193182 |
---|---|
Provider Name | Mr. Timothy Aundra Morgan |
First Address | Bonham, TX 75418-3735 |
Second Address | Bonham, TX 75418-3735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2012 |
Last Update Date | 18/04/2012 |