Provider Demographics
NPI:1033428248
Name:JAMES E MORNEAU,M.D.P.A
Entity Type:Organization
Organization Name:JAMES E MORNEAU,M.D.P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:MORNEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-338-1668
Mailing Address - Street 1:17099 TEXAS AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4069
Mailing Address - Country:US
Mailing Address - Phone:281-338-1668
Mailing Address - Fax:281-316-1118
Practice Address - Street 1:17099 TEXAS AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4069
Practice Address - Country:US
Practice Address - Phone:281-338-1668
Practice Address - Fax:281-316-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1686174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000234-01Medicaid
TX1000234-01Medicaid