Provider Demographics
NPI:1114409109
Name:MORGAN FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:MORGAN FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:281-592-8000
Mailing Address - Street 1:117 S WILLIAM BARNETT AVE STE A
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4963
Mailing Address - Country:US
Mailing Address - Phone:281-592-8000
Mailing Address - Fax:281-592-8001
Practice Address - Street 1:117 S WILLIAM BARNETT AVE STE A
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4963
Practice Address - Country:US
Practice Address - Phone:281-592-8000
Practice Address - Fax:281-592-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP133748OtherLICENSE