Provider Demographics
NPI:1093734535
Name:MORROW, CARLA K (CNM)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:K
Last Name:MORROW
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 HEMPHILL ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3179
Mailing Address - Country:US
Mailing Address - Phone:817-556-7777
Mailing Address - Fax:
Practice Address - Street 1:622 HEMPHILL ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3179
Practice Address - Country:US
Practice Address - Phone:817-878-2737
Practice Address - Fax:817-878-2738
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX667798363LW0102X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y1550OtherBCBS
TX189717501Medicaid
TXP00800369OtherRAILROAD MEDICARE
TXQ78635Medicare UPIN
TX189717501Medicaid