Provider Demographics
NPI:1093083164
Name:MORGAN, JAMES PATRICK (PTA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
Last Name:MORGAN
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ALMA DR
Mailing Address - Street 2:SUITE 135
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-8844
Mailing Address - Country:US
Mailing Address - Phone:972-424-5840
Mailing Address - Fax:
Practice Address - Street 1:700 ALMA DR
Practice Address - Street 2:SUITE 135
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8844
Practice Address - Country:US
Practice Address - Phone:972-424-5840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2086043174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist