Provider Demographics
NPI:1053848762
Name:COVINGTON, MORGAN M (MD)
Entity Type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:M
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 ROUND ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4217
Mailing Address - Country:US
Mailing Address - Phone:512-583-3376
Mailing Address - Fax:512-666-3243
Practice Address - Street 1:1760 ROUND ROCK AVE
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4217
Practice Address - Country:US
Practice Address - Phone:512-583-3376
Practice Address - Fax:512-666-3243
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT0071207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology