Provider Demographics
NPI:1124566419
Name:MORGAN, ROBERT ZACHARY (DPT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ZACHARY
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12508 JONES MALTSBERGER RD
Mailing Address - Street 2:110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-4214
Mailing Address - Country:US
Mailing Address - Phone:888-590-4002
Mailing Address - Fax:210-590-4585
Practice Address - Street 1:10526 W PARMER LN
Practice Address - Street 2:STE. 403
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-5056
Practice Address - Country:US
Practice Address - Phone:512-900-3302
Practice Address - Fax:512-900-3321
Is Sole Proprietor?:No
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1287176225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist